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112 Ozone Dr Hammond LA 70403-6018 | |
| (985) 351-9614 | |
| (985) 542-4318 |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 112 Ozone Dr, Hammond, Louisiana |
| Authorized Official Name and Position | Crystal S Hooper (CEO/CLINICIAL DIRECTOR) |
| Authorized Official Contact | 9853519614 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
112 Ozone Dr Hammond LA 70403-6018 Ph: (985) 351-9614 | 112 Ozone Dr Hammond LA 70403-6018 Ph: (985) 351-9614 |
| NPI Number | 1477085363 |
|---|---|
| Provider Enumeration Date | 03/30/2017 |
| Last Update Date | 03/30/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477085363 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 5976 (Louisiana) | Primary |
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