NPI | 1306020698 |
---|---|
Former Legal Business Name | BIOBEHAVIORAL MEDICINE CORPORATION |
Entity Type | Organization |
Authorized Contact | ALPHONSE KENISON ROY Medical Director 504-780-2766 |
Organization Subpart ? | No |
Primary Taxonomy | 2084A0401X Psychiatry & Neurology, Addiction Medicine |
Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: LA MD012078) |
103T00000X Psychologist | |
207K00000X Allergy & Immunology | |
Enumeration Date | 2007-12-21 |
Last Update Date | 2015-02-02 |