Louisiana Youth Enhanced Services

NPI 1205031044 - Psychiatry & Neurology - 2084P0804X

NPI Details
NPI 1205031044
Enumeration Date 06/20/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name KAWANA KAWANA
Position ASSOCIATE CLINICAL DIRECTOR
Phone (504) 866-7576
Fax
Practice Location
8 VERSAILLES BLVD
NEW ORLEANS LA, 70125-4114, US
Phone (504) 866-7576
Fax
Business Location
210 STATE ST
COTTAGE #4
NEW ORLEANS LA, 70118-5735, US
Phone (504) 896-2636
Fax (504) 896-2668
Toxanomy
Taxonomy Code 2084P0804X
License State Louisiana
License Number MD.09289R
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According to our database, Louisiana Youth Enhanced Services NPI is 1205031044, taxonomy code is 2084P0804X and license number is MD.09289R, license state is located at Louisiana. Louisiana Youth Enhanced Services physically located at 8 Versailles Blvd, New Orleans LA, 70125-4114. NPI Number 1033115704 has the healthcare provider type.

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1205031044 NPI number is provided on an as is basis without warranty of any kind. 1205031044 is maintained by the National Plan & Provider Enumeration System. The contents of Louisiana Youth Enhanced Services are for informational purposes only.