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Organization
GENESIS OF NEW IBERIA INC.
Active
Organization
GENESIS OF NEW IBERIA INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILL J ARLEDGE (CFO)
(337) 237-4673
Entity
Organization
Contact information
Practice address
224 N LEWIS ST, NEW IBERIA, LA 70563-2841
(337) 237-4673
(337) 237-4674
Mailing address
847 STEWART ST, LAFAYETTE, LA 70501-8539
(337) 237-4673
(337) 237-4674
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
1118991
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1118991
—
LA
Enumeration date
06/24/2005
Last updated
07/14/2008
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