| Catholic Charities Archdiocese Of New Orleans | |
|
100 Melonie St Suite F Boutte LA 70039-3052 | |
| (985) 785-2113 | |
| (985) 785-2198 |
| Full Name | Catholic Charities Archdiocese Of New Orleans |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 100 Melonie St, Boutte, Louisiana |
| Authorized Official Name and Position | Tom Costanza (PROGRAM DIRECTOR) |
| Authorized Official Contact | 5048747829 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Catholic Charities Archdiocese Of New Orleans 1000 Howard Ave Suite 200 New Orleans LA 70113-1903 Ph: (504) 874-7829 | Catholic Charities Archdiocese Of New Orleans 100 Melonie St Suite F Boutte LA 70039-3052 Ph: (985) 785-2113 |
| NPI Number | 1982081337 |
|---|---|
| Provider Enumeration Date | 05/05/2015 |
| Last Update Date | 05/05/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982081337 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | PLPC #6185 (Louisiana) | Primary |
| 251S00000X | Community/behavioral Health | NCC #349282 (Louisiana) | Secondary |