Organization
CHOICES OF LOUISIANA AT NORTHSHORE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANI TRAUPMAN (DIRECTOR)
(225) 450-3340
Entity
Organization
Contact information
Practice address
615 PRIDE DR, HAMMOND, LA 70401-9523
(985) 419-1666
(985) 429-8999
Mailing address
PO BOX 310, BRITTANY, LA 70718-0310
(225) 450-3340
(225) 450-6473
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
SA0011074
LA
Other
Enumeration date
04/09/2013
Last updated
07/09/2020
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