# BEHAVECARE LA IPA IDS LLC

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

## Provider details

- **NPI number:** 1073096095
- **Authorized official:** DINA MANDEVILLE (VP ACCOUNTING & ADMIN)
- **Authorized official phone:** (888) 985-5455

## Contact information

- **Practice address:** 900 CAMP ST, NEW ORLEANS, LA 70130-3971
- **Practice address phone:** (888) 984-5455
- **Mailing address:** 18 MAPLE AVE STE 103, BARRINGTON, RI 02806-3560
- **Mailing address phone:** (888) 985-5455
- **Mailing address fax:** (401) 404-8305

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 09/14/2018
- **Last updated:** 09/14/2018