NORTHSHORE AUTISM CENTER, LLC

MANDEVILLE, LA
NPI1629512652
Entity TypeOrganization
Authorized ContactCHAD FAVRE
Director
985-502-1884
Organization Subpart ?No
Primary Taxonomy252Y00000X Early Intervention Provider Agency
Enumeration Date2016-12-09
Last Update Date2020-06-03
Business Address
NORTHSHORE AUTISM CENTER, LLC
800 JACKSON AVE
MANDEVILLE, LA 70448-5328
Phone number: 985-502-1884
Mailing Address
NORTHSHORE AUTISM CENTER, LLC
345 FOREST BROOK BLVD
MANDEVILLE, LA 70448-8474
Phone number: 985-502-1884
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