| Ascension Parish Mental Health And Addictive Disorders Clinic | |
|
1112 S. East Ascension Complex Avenue Gonzales LA 70737-4265 | |
| (225) 621-5775 | |
| Not Available |
| Full Name | Ascension Parish Mental Health And Addictive Disorders Clinic |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1112 S. East Ascension Complex Avenue, Gonzales, Louisiana |
| Authorized Official Name and Position | Susan C. Mittendorf (DIRECTOR) |
| Authorized Official Contact | 2256211113 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ascension Parish Mental Health And Addictive Disorders Clinic 1112 S. East Ascension Complex Avenue Gonzales LA 70737-4265 Ph: (225) 621-5775 | Ascension Parish Mental Health And Addictive Disorders Clinic 1112 S. East Ascension Complex Avenue Gonzales LA 70737-4265 Ph: (225) 621-5775 |
| NPI Number | 1770753303 |
|---|---|
| Provider Enumeration Date | 03/11/2008 |
| Last Update Date | 03/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770753303 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 260A (Louisiana) | Primary |
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