| Nzbc Urban Corporation, Inc. | |
|
2300 Severn Ave Apt N204 Metairie LA 70001-1974 | |
| (504) 301-3015 | |
| (318) 746-0780 |
| Full Name | Nzbc Urban Corporation, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2300 Severn Ave Apt N204, Metairie, Louisiana |
| Authorized Official Name and Position | Philip H Williamson (BOARD CHAIRMAN) |
| Authorized Official Contact | 3186170376 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nzbc Urban Corporation, Inc. 2300 Severn Ave Apt N204 Metairie LA 70001-1974 Ph: (504) 301-3015 | Nzbc Urban Corporation, Inc. 2300 Severn Ave Apt N204 Metairie LA 70001-1974 Ph: (504) 301-3015 |
| NPI Number | 1255603064 |
|---|---|
| Provider Enumeration Date | 02/08/2012 |
| Last Update Date | 02/08/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255603064 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 385 (Louisiana) | Primary |
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