| Catalyst For Change | |
|
3305 Metairie Rd Metairie LA 70001-5215 | |
| (504) 251-0758 | |
| (504) 849-4040 |
| Full Name | Catalyst For Change |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3305 Metairie Rd, Metairie, Louisiana |
| Authorized Official Name and Position | Angela Henry Wilklow (OWNWE) |
| Authorized Official Contact | 5042510758 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Catalyst For Change 3305 Metairie Rd Metairie LA 70001-5215 Ph: (504) 251-0758 | Catalyst For Change 3305 Metairie Rd Metairie LA 70001-5215 Ph: (504) 251-0758 |
| NPI Number | 1881117851 |
|---|---|
| Provider Enumeration Date | 07/21/2017 |
| Last Update Date | 07/21/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881117851 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 5065 (Louisiana) | Primary |
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