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Organization
CHILD&ADOLESCENT BEHAVIORAL HEALTH SYSTEM
Active
Organization
CHILD&ADOLESCENT BEHAVIORAL HEALTH SYSTEM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WENDELL MELVIN COUSIN (ADMINISTRATIVE SUPPORT/CLERICAL)
(504) 483-1985
Entity
Organization
Contact information
Practice address
3801 CANAL ST STE 210, NEW ORLEANS, LA 70119-6069
(504) 483-1985
(504) 483-1984
Mailing address
3801 CANAL ST STE 210, NEW ORLEANS, LA 70119-6069
(504) 483-1985
(504) 483-1984
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
NULL
Other
Enumeration date
02/29/2012
Last updated
02/29/2012
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