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Organization
MHSD
Active
Organization
MHSD
Active
Parent organization
DHH/OBS
Other names
CABHS-WESTBANK CLINIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
DHH/OBS
Authorized official
MRS. VANESSA MARIE WILSON RN (CLINICAL NURSE)
(504) 361-6092
Entity
Organization
Contact information
Practice address
3710 RUE DELPHINE, NEW ORLEANS, LA 70131-7241
(504) 361-6092
(504) 361-6256
Mailing address
4222 GEN. MEYER AVE., STE. 100, N.O., LA 70131
(504) 361-6092
(504) 361-6256
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
30
LA
Other
Enumeration date
07/10/2012
Last updated
07/10/2012
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