Organization
BEHAVECARE LA IPA IDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DINA MANDEVILLE (VP ACCOUNTING & ADMIN)
(888) 985-5455
Entity
Organization
Contact information
Practice address
900 CAMP ST, NEW ORLEANS, LA 70130-3971
(888) 984-5455
Mailing address
18 MAPLE AVE STE 103, BARRINGTON, RI 02806-3560
(888) 985-5455
(401) 404-8305
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
09/14/2018
Last updated
09/14/2018
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