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106 Heymann Blvd Lafayette LA 70503-2322 | |
| (215) 836-3131 | |
| (215) 273-5975 |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 106 Heymann Blvd, Lafayette, Louisiana |
| Authorized Official Name and Position | Norman E Tilson (CORP SR DIRECTOR OF BUS 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 | 106 Heymann Blvd Lafayette LA 70503-2322 Ph: (215) 836-3131 |
| NPI Number | 1033484019 |
|---|---|
| Provider Enumeration Date | 03/09/2012 |
| Last Update Date | 08/01/2024 |
| Certification Date | 08/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033484019 | NPI | - | NPPES |
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