Provider First Line Business Practice Location Address:
8676 GOODWOOD BLVD SUITE 105
Provider Second Line Business Practice Location Address:
ALTERNATE THERAPEUTIC SOLUTIONS, LLC
Provider Business Practice Location Address City Name:
BATON ROUGE
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70806-7900
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
225-636-5817
Provider Business Practice Location Address Fax Number:
866-507-9329
Provider Enumeration Date:
08/19/2015