Organization
ARJ LA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENDELL JASPER PH.D. (CLINIC DIRECTOR)
(504) 324-5648
Entity
Organization
Contact information
Practice address
3820 CANAL ST, NEW ORLEANS, LA 70119-6037
(504) 324-5648
(704) 910-5607
Mailing address
223 W MOREHEAD ST, CHARLOTTE, NC 28202-1521
(504) 324-5648
(704) 910-5607
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261Q00000X
Clinic/Center
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
05/21/2013
Last updated
05/21/2013
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