| Kids In Crisis Project, Inc. | |
|
5200 Hwy 22 Suite 2 Mandeville LA 70471 | |
| (985) 792-1920 | |
| (985) 792-1980 |
| Full Name | Kids In Crisis Project, Inc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 5200 Hwy 22, Mandeville, Louisiana |
| Authorized Official Name and Position | Blake B. Bruno (DIRECTOR) |
| Authorized Official Contact | 9857921920 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kids In Crisis Project, Inc. Po Box 9127 Mandeville LA 70470 Ph: (985) 792-1920 | Kids In Crisis Project, Inc. 5200 Hwy 22 Suite 2 Mandeville LA 70471 Ph: (985) 792-1920 |
| NPI Number | 1376638874 |
|---|---|
| Provider Enumeration Date | 10/03/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376638874 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (Louisiana) | Primary |
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