| NPI | 1427738731 |
|---|---|
| Doing Business As | AVENUE PARC |
| Entity Type | Organization |
| Authorized Contact | KYJUANA MOSES CEO 225-287-4146 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2023-07-20 |
| Last Update Date | 2026-07-28 |