Organization
RTC PROVIDERS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHERONNE SMITH (CEO)
(504) 483-0415
Entity
Organization
Contact information
Practice address
330 N JEFFERSON DAVIS PKWY, NEW ORLEANS, LA 70119-5312
(504) 483-0415
(504) 483-0416
Mailing address
330 N JEFFERSON DAVIS PKWY, NEW ORLEANS, LA 70119-5312
(504) 483-0415
(504) 483-0416
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1556891
—
LA
Enumeration date
07/12/2006
Last updated
01/11/2008
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