Organization
PATHWAYS ADDICTION RECOVERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICKY WAYNE PHILLIPS DNP (CEO)
(504) 309-8135
Entity
Organization
Contact information
Practice address
3801 HOUMA BLVD STE 100, METAIRIE, LA 70006-4185
(504) 309-8135
Mailing address
3801 HOUMA BLVD STE 100, METAIRIE, LA 70006-4185
(504) 309-8135
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
07/24/2018
Last updated
07/24/2018
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