| Nola, Pride-wfh Llc | |
|
700 Phosphor Ave Suite C Metairie LA 70005 | |
| (504) 287-4160 | |
| (504) 305-0454 |
| Full Name | Nola, Pride-wfh Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 700 Phosphor Ave, Metairie, Louisiana |
| Authorized Official Name and Position | Nejuan Bakewell (CEO) |
| Authorized Official Contact | 5044580370 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nola, Pride-wfh Llc 700 Phosphor Ave Suite C Metairie LA 70005 Ph: (504) 287-4160 | Nola, Pride-wfh Llc 700 Phosphor Ave Suite C Metairie LA 70005 Ph: (504) 287-4160 |
| NPI Number | 1912386640 |
|---|---|
| Provider Enumeration Date | 05/27/2015 |
| Last Update Date | 12/13/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912386640 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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