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1144673765
NOLA INNOVATIVE PSYCHIATRIC SERVICES, LLC
NEW ORLEANS, LA
NPI
1144673765
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Entity Type
Organization
Authorized Contact
GERREN WILSON
Owner
504-330-6038
Organization Subpart ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date
2016-07-19
Last Update Date
2016-07-19
Business Address
NOLA INNOVATIVE PSYCHIATRIC SERVICES, LLC
3520 GENERAL DEGAULLE DR STE 4098
NEW ORLEANS, LA 70114-6757
Phone number: 504-330-6308
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Mailing Address
NOLA INNOVATIVE PSYCHIATRIC SERVICES, LLC
3320 N ARNOULT RD APT 226
METAIRIE, LA 70002-3396
Phone number:
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