institution
Mmo Of Gonzales, Llc
Mental Health Clinic/Center (Including Community Mental Health Center) in Gonzales, Louisiana
NPI 1093883522

Mmo Of Gonzales, Llc is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Baton Rouge, LA and is specialized in Mental Health (Including Community Mental Health Center). Mmo Of Gonzales, Llc practices in Gonzales, LA. The NPI Number for Mmo Of Gonzales, Llc is 1093883522 and holds a License No. 531032 (Louisiana).

The current practice location address for Mmo Of Gonzales, Llc is 305 South Burnside Ave., Gonzales, LA and can be reached out via phone at 225-621-2760 and via fax at 225-621-2768. You can also correspond with Mmo Of Gonzales, Llc through the mailing address at 728 NORTH BLVD, BATON ROUGE, LA - 70802-5724 (mailing address contact number: 225-621-2760).

Location: 305 South Burnside Ave., Gonzales, LA, 70802-5724
institution
Provider Profile Details
NPI Number
1093883522
Provider Name
Mmo Of Gonzales, Llc
Credential
Provider Entity Type
Organization
Address
305 South Burnside Ave., Gonzales, LA, 70802-5724
Phone Number
225-621-2760
Fax Number
225-621-2768
Provider Enumeration Date
12/01/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
305 South Burnside Ave.
City
State
Zip
70737
Phone Number
225-621-2760
Fax Number
225-621-2768
person
Provider Business Mailing Address Details
Address
728 North Blvd
City
State
Zip
70802-5724
Phone Number
225-621-2760
Fax Number
225-621-2768
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
531032 (Louisiana)
Definition
Definition to come...
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