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1320 N Morrison Blvd Hammond LA 70401-2242 | |
| (985) 551-5155 | |
| (985) 551-5222 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1320 N Morrison Blvd, Hammond, Louisiana |
| Authorized Official Name and Position | Timothy O'neal Showers (MBR) |
| Authorized Official Contact | 9855205697 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 2162 Hammond LA 70404-2162 Ph: () - | 1320 N Morrison Blvd Hammond LA 70401-2242 Ph: (985) 551-5155 |
| NPI Number | 1689020489 |
|---|---|
| Provider Enumeration Date | 05/11/2016 |
| Last Update Date | 09/21/2023 |
| Certification Date | 09/21/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689020489 | NPI | - | NPPES |
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