Gulf Coast Social Services | |
2400 Edenborn Ave Metairie LA 70001-1817 | |
(504) 831-6561 | |
(504) 835-3156 |
Full Name | Gulf Coast Social Services |
---|---|
Speciality | Community/behavioral Health |
Location | 2400 Edenborn Ave, Metairie, Louisiana |
Authorized Official Name and Position | Willie Green (CEO) |
Authorized Official Contact | 5048316561 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Gulf Coast Social Services 2400 Edenborn Ave Metairie LA 70001-1817 Ph: (504) 831-6561 | Gulf Coast Social Services 2400 Edenborn Ave Metairie LA 70001-1817 Ph: (504) 831-6561 |
NPI Number | 1356617195 |
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Provider Enumeration Date | 03/27/2012 |
Last Update Date | 09/27/2022 |
Certification Date | 09/27/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356617195 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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