Provider Demographics
NPI:1902255524
Name:CPM CASE MANAGEMENT GROUP, LLC
Entity Type:Organization
Organization Name:CPM CASE MANAGEMENT GROUP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:ANDRE
Authorized Official - Last Name:BOWIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-663-0191
Mailing Address - Street 1:1206 FLORIDA BLVD
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70802-4632
Mailing Address - Country:US
Mailing Address - Phone:225-663-0191
Mailing Address - Fax:225-239-7979
Practice Address - Street 1:1206 FLORIDA BLVD
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70802-4632
Practice Address - Country:US
Practice Address - Phone:225-663-0161
Practice Address - Fax:225-239-7979
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-04
Last Update Date:2016-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management