Organization
PRIORITY BEHAVIORAL HEALTH LLC
Active
Organization
PRIORITY BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AIMEE CHANTELLE BROUSSARD RN, BSN (OWNER, CEO)
(337) 367-7889
Entity
Organization
Contact information
Practice address
115 HANSEL ST, NEW IBERIA, LA 70560-5039
(337) 367-7889
(337) 359-8580
Mailing address
PO BOX 13904, NEW IBERIA, LA 70562-3904
(337) 367-7889
(337) 359-8580
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1119369
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1119369
—
LA
Enumeration date
06/30/2006
Last updated
03/16/2012
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