Organization
EXCELTH, INC
Active
Other names
George Washington Carver Collegiate Academy
Organization subpart
No
Provider details
NPI number
Authorized official
MATILDA TENNESSEE (RCM)
(504) 524-1210
Entity
Organization
Contact information
Practice address
3059 HIGGINS BLVD, NEW ORLEANS, LA 70126-5422
(504) 524-1210
(504) 524-1491
Mailing address
1515 POYDRAS ST STE 1070, NEW ORLEANS, LA 70112-4520
(504) 521-1210
(504) 524-1491
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
11/16/2016
Last updated
11/16/2016
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