| Post Trauma Institute Of Louisiana | |
|
4475 S I 19 Frontage Rd Green Valley AZ 85614-6335 | |
| (225) 361-8225 | |
| (225) 751-5847 |
| Full Name | Post Trauma Institute Of Louisiana |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 4475 S I 19 Frontage Rd, Green Valley, Arizona |
| Authorized Official Name and Position | Lawrence Sullivan Salone (OWNER) |
| Authorized Official Contact | 2253618225 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Post Trauma Institute Of Louisiana Po Box 375 Duplessis LA 70728-0375 Ph: (225) 361-8225 | Post Trauma Institute Of Louisiana 4475 S I 19 Frontage Rd Green Valley AZ 85614-6335 Ph: (225) 361-8225 |
| NPI Number | 1588315055 |
|---|---|
| Provider Enumeration Date | 01/15/2022 |
| Last Update Date | 01/15/2022 |
| Certification Date | 01/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588315055 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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