Organization
EKHAYA YOUTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GILDA ROSE JOHNSON (MENTAL HEALTH PROFESSIONAL)
(504) 444-9379
Entity
Organization
Contact information
Practice address
2016 ROBERT ST, NEW ORLEANS, LA 70115-5634
(504) 444-9379
Mailing address
1112 5TH ST, GRETNA, LA 70053-6008
(504) 373-6026
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/21/2016
Last updated
07/21/2016
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