Organization
KEYSTONE CENTER FOR PEDIATRIC BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELISE MCIVER (DIRECTOR)
(985) 234-0228
Entity
Organization
Contact information
Practice address
319 S TYLER ST, COVINGTON, LA 70433-3037
(985) 234-0228
Mailing address
319 S TYLER ST, COVINGTON, LA 70433-3037
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/16/2022
Last updated
04/07/2022
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