Organization
GRACE OUTREACH CENTER
Active
Organization
GRACE OUTREACH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PYTHIAN NOAH (PASTOR/DIRECTOR)
(504) 324-6863
Entity
Organization
Contact information
Practice address
2601 TULANE AVE STE 600, NEW ORLEANS, LA 70119-7462
(504) 324-6863
Mailing address
2601 TULANE AVE STE 600, NEW ORLEANS, LA 70119-7462
(504) 324-6863
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
398
LA
251S00000X
Community/Behavioral Health Agency
Primary
398
LA
Other
Enumeration date
05/19/2008
Last updated
05/19/2008
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