Advantage Suboxone Clinic, Inc | |
3349 Ridgelake Dr Metairie LA 70002-3851 | |
(504) 495-9519 | |
Not Available |
Full Name | Advantage Suboxone Clinic, Inc |
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Speciality | Clinic/center |
Location | 3349 Ridgelake Dr, Metairie, Louisiana |
Authorized Official Name and Position | Leia Ann Frickey (PRESIDENT) |
Authorized Official Contact | 5044959519 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Advantage Suboxone Clinic, Inc 6872 Jefferson Hwy New Orleans LA 70123-4925 Ph: (504) 495-9519 | Advantage Suboxone Clinic, Inc 3349 Ridgelake Dr Metairie LA 70002-3851 Ph: (504) 495-9519 |
NPI Number | 1063785996 |
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Provider Enumeration Date | 02/23/2012 |
Last Update Date | 02/23/2012 |
Identifier | Type | State | Issuer |
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1063785996 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 020845 (Louisiana) | Primary |
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