Organization
IMPACT BEHAVIOR HEALTH SERVICES LLC.
Active
Organization
IMPACT BEHAVIOR HEALTH SERVICES LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JOHN A CLARK BS (CEO)
(504) 407-0709
Entity
Organization
Contact information
Practice address
4700 WICHERS DR, MARRERO SUITE 205B, MARRERO, LA 70072-3041
(504) 407-0907
(504) 333-6252
Mailing address
4700 WICHER DR., 4700 WICHERS DR SUITE 205B, MARRERO, LA 70072
(504) 407-0709
(504) 333-6252
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
LA
Other
Enumeration date
08/17/2015
Last updated
11/02/2020
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