Organization
ODYSSEY HOUSE INC. LA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEIGH A DE MONREDON NP (CLINIC DIRECTOR)
(504) 220-2194
Entity
Organization
Contact information
Practice address
1125 N TONTI ST, NEW ORLEANS, LA 70119-3549
(504) 378-7816
(504) 371-5162
Mailing address
1125 N TONTI ST, NEW ORLEANS, LA 70119-3549
(504) 378-7816
(504) 371-5162
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
AP094186
LA
Other
Enumeration date
11/10/2010
Last updated
11/10/2010
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