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Organization
LOUISIANA COMMUNITY HEALTH AND WELLNESS CENTER LLC
Active
Organization
LOUISIANA COMMUNITY HEALTH AND WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENDRICK EBANKS (CO-OWNER)
(225) 638-8878
Entity
Organization
Contact information
Practice address
805 PARENT ST, NEW ROADS, LA 70760-2215
(225) 638-8878
(225) 638-8879
Mailing address
805 PARENT ST, NEW ROADS, LA 70760-2215
(225) 638-8878
(225) 638-8879
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
LA
283Q00000X
Psychiatric Hospital
—
—
Other
Enumeration date
05/12/2010
Last updated
05/12/2010
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