| Organization Name: | CDJ REHABILITATION SERVICES, LLC |
| NPI Number: | 1124273214 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CARLA D JEANBATISTE (MANAGER) |
| Mailing Address: | 111 E Claiborne St Saint Martinville |
| State: | LA US |
| Postal Code: | 705824503 |
| Phone Number: | 3373948515 |
| Fax Number: | 3373672088 |
| NPI Enumeration Date: | 11/18/2008 |
| NPI Last Update Date: | 11/18/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 2752 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |