| Organization Name: | WEST BATON ROUGE ADDICTION RECOVERY CENTER |
| NPI Number: | 1154683001 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GEORGE BERT ALLAIN (DIRECTOR) |
| Mailing Address: | 685 Louisiana Ave Port Allen |
| State: | LA US |
| Postal Code: | 70767 |
| Phone Number: | 2257760644 |
| Fax Number: | 2256875893 |
| NPI Enumeration Date: | 06/15/2012 |
| NPI Last Update Date: | 06/15/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 500 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |