Enhanced Destiny Services Inc

NPI 1023157302 - Clinic/Center - 261QM0801X

NPI Details
NPI 1023157302
Enumeration Date 02/05/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name MICHAEL ROBERT MICHAEL
Position PROGRAM DIRECTOR
Phone (504) 821-1339
Fax (504) 821-8185
Practice Location
2740 IBERVILLE ST
NEW ORLEANS LA, 70119, US
Phone (504) 821-1339
Fax (504) 821-8185
Business Location
2740 IBERVILLE ST
NEW ORLEANS LA, 70119, US
Phone (504) 821-1339
Fax (504) 821-8185
Toxanomy
Taxonomy Code 261QM0801X
License State
License Number
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According to our database, Enhanced Destiny Services Inc NPI is 1023157302, taxonomy code is 261QM0801X Enhanced Destiny Services Inc physically located at 2740 Iberville St, New Orleans LA, 70119. NPI Number 1033115704 has the healthcare provider type.

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1023157302 NPI number is provided on an as is basis without warranty of any kind. 1023157302 is maintained by the National Plan & Provider Enumeration System. The contents of Enhanced Destiny Services Inc are for informational purposes only.