Organization
CENTER FOR PRIMARY CARE AND BEHAVIORAL HEALTH SERVICES
Active
Organization
CENTER FOR PRIMARY CARE AND BEHAVIORAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY ESTHER MARTINEZ (CEO)
(504) 417-3728
Entity
Organization
Contact information
Practice address
252 HECTOR AVE STE A, GRETNA, LA 70056-2548
(504) 417-3728
Mailing address
PO BOX 1756, GRETNA, LA 70054-1756
(504) 435-1444
(504) 372-2775
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AETNA
AETNA BETTER HEALTH OF LOUISIANA
LA
01
—
AMERI
AMERIHEALTH CARITAS LOUISIANA
LA
01
—
HB
HEALTHY BLUE
LA
01
—
HUM
HUMANA
LA
01
—
HUMAN
HUMANA
LA
01
—
LHC
LA. HEALTHCARE CONNECTIONS
LA
05
—
MCAID
—
LA
01
—
UHC
UNITED HEALTHCARE COMMUNITY PLAN
LA
Enumeration date
11/26/2018
Last updated
06/29/2020
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