| Oh Project-lafayette | |
|
23515 Us 190 Northlake Academy Building Mandeville LA 70448 | |
| (985) 276-3040 | |
| Not Available |
| Full Name | Oh Project-lafayette |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 23515 Us 190, Mandeville, Louisiana |
| Authorized Official Name and Position | Andrew Garcia (OWNER) |
| Authorized Official Contact | 9018265868 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oh Project-lafayette Po Box 957 Madisonville LA 70447-0957 Ph: (985) 276-3040 | Oh Project-lafayette 23515 Us 190 Northlake Academy Building Mandeville LA 70448 Ph: (985) 276-3040 |
| NPI Number | 1952870362 |
|---|---|
| Provider Enumeration Date | 11/14/2018 |
| Last Update Date | 11/14/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952870362 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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