STREET SMART RECOVERY LLC NPI 1518509579

NPI Information

STREET SMART RECOVERY LLC is an addiction (substance use disorder) counselor in Baton Rouge, LA. STREET SMART RECOVERY LLC NPI is 1518509579. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

11606 SOUTHFORK AVE
BATON ROUGE, LA
ZIP 70816-235
Phone: (225) 439-7255

The provider's authorized official is Jeff Raybon .
The authorized official title is Member Manager and has the following contact phone number (225) 439-7255.

The enumeration date for this NPI number is 10/11/2019 and was last updated on 10/11/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.