Basic Information
| Provider Information | |||||||||
| NPI: | 1952859472 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | TURN-A-ROUND COMMUNITY OUTREACH LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 9136 W POMONA DR | ||||||||
| Address2: | |||||||||
| City: | BATON ROUGE | ||||||||
| State: | LA | ||||||||
| PostalCode: | 708151050 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2253807295 | ||||||||
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| Practice Location | |||||||||
| Address1: | 4336 NORTH BLVD | ||||||||
| Address2: | SUITE 104 | ||||||||
| City: | BATON ROUGE | ||||||||
| State: | LA | ||||||||
| PostalCode: | 708063920 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2253807295 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 09/13/2016 | ||||||||
| LastUpdateDate: | 02/13/2017 | ||||||||
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| AuthorizedOfficialLastName: | WILLIAMS | ||||||||
| AuthorizedOfficialFirstName: | ANTOINETTE | ||||||||
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| AuthorizedOfficialTitleorPosition: | ADMINSTRATOR | ||||||||
| AuthorizedOfficialTelephone: | 2253807295 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MS. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251S00000X | Y | Agencies | Community/Behavioral Health |
No ID Information.