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139 Tammy Drive Laplace LA 70068-6474 | |
(985) 210-3015 | |
Not Available |
Full Name | |
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Speciality | Community/behavioral Health |
Location | 139 Tammy Drive, Laplace, Louisiana |
Authorized Official Name and Position | Jacqueline Howze Porter (CEO) |
Authorized Official Contact | 9852103015 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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139 Tammy Drive Laplace LA 70068-6474 Ph: (985) 210-3015 | 139 Tammy Drive Laplace LA 70068-6474 Ph: (985) 210-3015 |
NPI Number | 1861882912 |
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Provider Enumeration Date | 01/28/2015 |
Last Update Date | 01/28/2015 |
Identifier | Type | State | Issuer |
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1861882912 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |