DIVINE IMPACT BEHAVIORAL SUPPORT SERVICES LLC

TERRYTOWN, LA
NPI1457710493
Entity TypeOrganization
Authorized ContactPATRICE NOEL PASLEY
Owner
504-330-0788
Organization Subpart ?No
Primary Taxonomy251S00000X 
(Licence: LA  41056835)
Enumeration Date2016-02-18
Last Update Date2016-02-18
Business Address
DIVINE IMPACT BEHAVIORAL SUPPORT SERVICES LLC
1799 STUMPF BLVD BUILDING 5 SUITE 1
TERRYTOWN, LA 70056-3950
Phone number: 504-330-0788
Mailing Address
DIVINE IMPACT BEHAVIORAL SUPPORT SERVICES LLC
1799 STUMPF BLVD BUILDING 5 SUITE 1
TERRYTOWN, LA 70056-3950
Phone number: 504-330-0788
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