| Chartres - Pontchartrain Behavioral Health Center | |
|
719 Elysian Fields Ave New Orleans LA 70117-8511 | |
| (504) 942-8101 | |
| (504) 942-8242 |
| Full Name | Chartres - Pontchartrain Behavioral Health Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 719 Elysian Fields Ave, New Orleans, Louisiana |
| Authorized Official Name and Position | Traci R Brown (CHIEF FISCAL OFFICER) |
| Authorized Official Contact | 5045683130 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chartres - Pontchartrain Behavioral Health Center 3100 General Degaulle Dr New Orleans LA 70114-6632 Ph: (504) 568-3130 | Chartres - Pontchartrain Behavioral Health Center 719 Elysian Fields Ave New Orleans LA 70117-8511 Ph: (504) 942-8101 |
| NPI Number | 1760511919 |
|---|---|
| Provider Enumeration Date | 03/05/2007 |
| Last Update Date | 06/03/2021 |
| Certification Date | 06/03/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760511919 | NPI | - | NPPES |
| 1710253 | Medicaid | LA |
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