OH PROJECT- SOUTHSHORE

MANDEVILLE, LA
NPI1508335910
Entity TypeOrganization
Authorized ContactSEQUILLA CARTER
Owner
504-450-6769
Organization Subpart ?No
Primary Taxonomy363LP0808X Nurse Practitioner Psychiatric/Mental Health
Enumeration Date2018-11-14
Last Update Date2018-11-14
Business Address
OH PROJECT- SOUTHSHORE
23515 U.S. 190 NORTHLAKE ACADEMY BUILDING
MANDEVILLE, LA 70447
Phone number: 985-276-3040
Mailing Address
OH PROJECT- SOUTHSHORE
PO BOX 957
MADISONVILLE, LA 70447-0957
Phone number:
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