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244 Layman St Avondale LA 70094-2524 | |
(504) 621-5499 | |
(504) 436-4595 |
Full Name | |
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Speciality | Community/behavioral Health |
Location | 244 Layman St, Avondale, Louisiana |
Authorized Official Name and Position | Dawn Ellis Christian (OWNER) |
Authorized Official Contact | 5046215499 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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244 Layman St Avondale LA 70094-2524 Ph: (504) 621-5499 | 244 Layman St Avondale LA 70094-2524 Ph: (504) 621-5499 |
NPI Number | 1992165740 |
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Provider Enumeration Date | 03/07/2016 |
Last Update Date | 03/07/2016 |
Identifier | Type | State | Issuer |
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1992165740 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (Louisiana) | Primary |