Derrick Freeman | |
5630 Crowder Blvd Suite 208 New Orleans LA 70127-2429 | |
(504) 905-9670 | |
(504) 241-6007 |
Full Name | Derrick Freeman |
---|---|
Speciality | Community/behavioral Health |
Location | 5630 Crowder Blvd, New Orleans, Louisiana |
Authorized Official Name and Position | Derrick Freeman (CLINICAL ADMINISTRATOR) |
Authorized Official Contact | 5049059670 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Derrick Freeman 5630 Crowder Blvd Suite 208 New Orleans LA 70127-2429 Ph: (504) 905-9670 | Derrick Freeman 5630 Crowder Blvd Suite 208 New Orleans LA 70127-2429 Ph: (504) 905-9670 |
NPI Number | 1760859813 |
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Provider Enumeration Date | 08/25/2015 |
Last Update Date | 08/25/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760859813 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | SA0010691 (Louisiana) | Primary |
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