| Covenant House New Orleans | |
|
611 N Rampart St New Orleans LA 70112-3505 | |
| (504) 522-6234 | |
| Not Available |
| Full Name | Covenant House New Orleans |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 611 N Rampart St, New Orleans, Louisiana |
| Authorized Official Name and Position | Stacy Horn Koch (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5045226234 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Covenant House New Orleans 611 N Rampart St New Orleans LA 70112-3505 Ph: (504) 522-6234 | Covenant House New Orleans 611 N Rampart St New Orleans LA 70112-3505 Ph: (504) 522-6234 |
| NPI Number | 1982863296 |
|---|---|
| Provider Enumeration Date | 06/03/2008 |
| Last Update Date | 01/30/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982863296 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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