| Riverdale School Based Health Center Mental Health Services | |
|
240 Riverdale Dr Jefferson LA 70121-3507 | |
| (504) 834-5026 | |
| (504) 834-3845 |
| Full Name | Riverdale School Based Health Center Mental Health Services |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 240 Riverdale Dr, Jefferson, Louisiana |
| Authorized Official Name and Position | Mark Keiser (CEO) |
| Authorized Official Contact | 5045753712 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Riverdale School Based Health Center Mental Health Services 2900 Indiana Ave Kenner LA 70065-4605 Ph: (504) 575-3712 | Riverdale School Based Health Center Mental Health Services 240 Riverdale Dr Jefferson LA 70121-3507 Ph: (504) 834-5026 |
| NPI Number | 1538411921 |
|---|---|
| Provider Enumeration Date | 10/09/2012 |
| Last Update Date | 09/20/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538411921 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Louisiana) | Primary |
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