Organization
GREATER NEW ORLEANS SUPPORTS AND SERVICES CTR. - VULCAN STREET CH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KIN HODGE (MRDD REGIONAL ADMINISTRATOR 4)
(504) 364-6600
Entity
Organization
Contact information
Practice address
4460 GENERAL MEYER AVE, NEW ORLEANS, LA 70131-3529
(504) 364-6600
(504) 364-6651
Mailing address
4460 GENERAL MEYER AVE, NEW ORLEANS, LA 70131-3529
(504) 364-6600
(504) 364-6651
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
1014
LA
Other
Enumeration date
04/24/2008
Last updated
04/24/2008
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