NPIMap

Organization Active NPI

Freedom Recovery Center of Acadiana

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Lafayette, LA
National Provider Identifier
1366724759
Registry record updated Sep 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
FREEDOM RECOVERY CENTER OF ACADIANA
Practice address
325 Kaliste Saloom Rd
Suite 100
Lafayette, LA 70508-3877
Phone
(337) 234-1490
Fax
(337) 265-5032
NPI assigned
Sep 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Bruce Paul Baudoin, PA-CNPI 1699944272
Title
Administrator
Phone
(337) 234-1490

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

325 Kaliste Saloom Rd
Suite 100
Lafayette, LA 70508-3877

Mailing address

PO Box 81726
Lafayette, LA 70598-1726
Phone (337) 234-1490

National Provider Directory

National Provider Directory
Tax ID family
Freedom Recovery Center of Acadiana2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1315872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315872000000",
    "number": "1366724759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 81726",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705981726",
            "telephone_number": "337-234-1490",
            "fax_number": "337-265-5032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 KALISTE SALOOM RD",
            "address_2": "SUITE 100",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083877",
            "telephone_number": "337-234-1490",
            "fax_number": "337-265-5032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM RECOVERY CENTER OF ACADIANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-13",
        "last_updated": "2011-09-13",
        "status": "A",
        "authorized_official_last_name": "BAUDOIN",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "337-234-1490",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.