Organization
PSYCHIATRIC SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SANDRA BROMMELAND GONZALEZ NP (OWNER)
(985) 209-0953
Entity
Organization
Contact information
Practice address
1101 AUDUBON AVE, THIBODAUX, LA 70301-4957
(985) 209-0953
(941) 295-7336
Mailing address
929 BAYOU DULARGE RD, HOUMA, LA 70363-7614
(985) 209-0953
(941) 295-7336
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
APO5139
LA
Other
Enumeration date
04/07/2011
Last updated
01/27/2015
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