NPIMap

Organization Active NPI

Opiate Replacement Therapy Centers of America, Inc.

  • Clinic/Center
  • Breaux Bridge, LA
National Provider Identifier
1487804779
Registry record updated Sep 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
244 Issued in LA
Legal business name
OPIATE REPLACEMENT THERAPY CENTERS OF AMERICA, INC.
Practice address
2013 Rees St
Breaux Bridge, LA 70517-4213
Phone
(337) 332-4878
Fax
(337) 332-4866
NPI assigned
Sep 24, 2008
Last updated
Sep 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2008

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

Authorized official

Name
Mr. Richard De la Houssaye, MPA
Title
Program Sponsor
Phone
(337) 332-4878

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 244 LA Primary

Addresses

Primary practice location

2013 Rees St
Breaux Bridge, LA 70517-4213

Mailing address

2013 Rees St
Breaux Bridge, LA 70517-4213
Phone (337) 332-4878

National Provider Directory

National Provider Directory
Tax ID family
Opiate Replacement Therapy Centers of America Inc2 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.

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1222214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222214400000",
    "number": "1487804779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2013 REES ST",
            "city": "BREAUX BRIDGE",
            "state": "LA",
            "postal_code": "705174213",
            "telephone_number": "337-332-4878",
            "fax_number": "337-332-4866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2013 REES ST",
            "city": "BREAUX BRIDGE",
            "state": "LA",
            "postal_code": "705174213",
            "telephone_number": "337-332-4878",
            "fax_number": "337-332-4866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPIATE REPLACEMENT THERAPY CENTERS OF AMERICA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-24",
        "last_updated": "2008-09-24",
        "status": "A",
        "authorized_official_last_name": "DE LA HOUSSAYE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PROGRAM SPONSOR",
        "authorized_official_telephone_number": "337-332-4878",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPA"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "LA",
            "license": "244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Breaux Bridge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2008; 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.