# LOUISIANA ADDICITION TREATMENT CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023606506
- **Authorized official:** DR. BRYANT G GEORGE SR. MD (PHYSICIAN/MEMBER)
- **Authorized official phone:** (504) 919-3009

## Contact information

- **Practice address:** 3216 N TURNBULL DR STE B, METAIRIE, LA 70002-5732
- **Practice address phone:** (504) 373-6717
- **Practice address fax:** (504) 304-1618
- **Mailing address:** 1741 LARK ST, NEW ORLEANS, LA 70122-2215
- **Mailing address phone:** (504) 919-3009
- **Mailing address fax:** (504) 304-1618

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RA0401X | Addiction Medicine (Internal Medicine) Physician | — | NULL | Yes |
| 207RA0401X | Addiction Medicine (Internal Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/09/2021
- **Last updated:** 01/09/2021