Organization
EXTENDED FAMILY HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KANDACE ALLEN (CHIEF EXECUTIVE OFFICER)
(504) 908-6320
Entity
Organization
Contact information
Practice address
1615 POYDRAS ST STE 900, NEW ORLEANS, LA 70112-1282
(504) 908-6320
Mailing address
1615 POYDRAS ST STE 900, NEW ORLEANS, LA 70112-1282
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/19/2016
Last updated
07/19/2016
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