Organization
ADVANTAGE SUBOXONE CLINIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEIA ANN FRICKEY MD (PRESIDENT)
(504) 495-9519
Entity
Organization
Contact information
Practice address
3349 RIDGELAKE DR, METAIRIE, LA 70002-3851
(504) 495-9519
Mailing address
6872 JEFFERSON HWY, NEW ORLEANS, LA 70123-4925
(504) 495-9519
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
020845
LA
Other
Enumeration date
02/23/2012
Last updated
02/23/2012
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