| 1 Priority Independent Living Skills Building | |
|
321 W Judge Perez Dr Suite B Chalmette LA 70043-4903 | |
| (504) 208-9636 | |
| Not Available |
| Full Name | 1 Priority Independent Living Skills Building |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 321 W Judge Perez Dr, Chalmette, Louisiana |
| Authorized Official Name and Position | Revia Jackosn (ADMINISTRATOR) |
| Authorized Official Contact | 5042089636 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 1 Priority Independent Living Skills Building 321 W Judge Perez Dr Suite B Chalmette LA 70043-4903 Ph: (504) 208-9636 | 1 Priority Independent Living Skills Building 321 W Judge Perez Dr Suite B Chalmette LA 70043-4903 Ph: (504) 208-9636 |
| NPI Number | 1275987307 |
|---|---|
| Provider Enumeration Date | 04/14/2016 |
| Last Update Date | 04/14/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275987307 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1548408958 (Louisiana) | Primary |
| 251S00000X | Community/behavioral Health | 1364878 (Louisiana) | Secondary |
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