Organization
KINGSLEY HOUSE, INC
Active
Organization
KINGSLEY HOUSE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH H LIEDERMAN PHD (EXECUTIVE DIRECTOR)
(504) 523-6221
Entity
Organization
Contact information
Practice address
1600 CONSTANCE ST, NEW ORLEANS, LA 70130-4641
(504) 523-6221
(504) 523-4450
Mailing address
1600 CONSTANCE ST, NEW ORLEANS, LA 70130-4641
(504) 523-6221
(504) 523-4450
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/06/2010
Last updated
01/06/2010
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