Provider First Line Business Practice Location Address:
422 COLONIAL DR
Provider Second Line Business Practice Location Address:
COMMUNITY EMPOWERMENT SERVICES
Provider Business Practice Location Address City Name:
BATON ROUGE
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70806-6505
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
225-292-5151
Provider Business Practice Location Address Fax Number:
225-292-5152
Provider Enumeration Date:
02/14/2007