Nola Intervention, Llc | |
4300 S I 10 Service Rd W 103l Metairie LA 70001-7405 | |
(614) 602-7614 | |
Not Available |
Full Name | Nola Intervention, Llc |
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Speciality | Community/behavioral Health |
Location | 4300 S I 10 Service Rd W, Metairie, Louisiana |
Authorized Official Name and Position | Adrienne Dixson (ADMINISTRATOR) |
Authorized Official Contact | 6146027614 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Nola Intervention, Llc 4300 S I 10 Service Rd W 103l Metairie LA 70001-7405 Ph: () - | Nola Intervention, Llc 4300 S I 10 Service Rd W 103l Metairie LA 70001-7405 Ph: (614) 602-7614 |
NPI Number | 1275082851 |
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Provider Enumeration Date | 09/23/2016 |
Last Update Date | 09/23/2016 |
Identifier | Type | State | Issuer |
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1275082851 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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251S00000X | Community/behavioral Health | 10719742#2NJ62 (Louisiana) | Primary |
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