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44617 S Airport Rd Ste C-d Hammond LA 70403-0311 | |
| (215) 836-3131 | |
| (215) 273-5975 |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 44617 S Airport Rd Ste C-d, Hammond, Louisiana |
| Authorized Official Name and Position | Norman Tilson (CORP SR DIRECTOR OF BUSINESS OPS) |
| Authorized Official Contact | 2158363131 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
4251 Crums Mill Rd Harrisburg PA 17112-2824 Ph: (215) 836-3131 | 44617 S Airport Rd Ste C-d Hammond LA 70403-0311 Ph: (215) 836-3131 |
| NPI Number | 1215371398 |
|---|---|
| Provider Enumeration Date | 04/19/2013 |
| Last Update Date | 06/24/2024 |
| Certification Date | 06/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215371398 | NPI | - | NPPES |
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