# CHILD&ADOLESCENT BEHAVIORAL HEALTH SYSTEM

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

## Provider details

- **NPI number:** 1780958306
- **Authorized official:** MR. WENDELL MELVIN COUSIN (ADMINISTRATIVE SUPPORT/CLERICAL)
- **Authorized official phone:** (504) 483-1985

## Contact information

- **Practice address:** 3801 CANAL ST STE 210, NEW ORLEANS, LA 70119-6069
- **Practice address phone:** (504) 483-1985
- **Practice address fax:** (504) 483-1984
- **Mailing address:** 3801 CANAL ST STE 210, NEW ORLEANS, LA 70119-6069
- **Mailing address phone:** (504) 483-1985
- **Mailing address fax:** (504) 483-1984

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | — | NULL | Yes |

## Other

- **Enumeration date:** 02/29/2012
- **Last updated:** 02/29/2012