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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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