Organization
ANNETTE
Active
Parent organization
TONKA
Other names
tonka
Organization subpart
Yes
Provider details
NPI number
Legal business name
TONKA
Authorized official
ANNETTE M WARREN (OWNER)
(504) 274-6190
Entity
Organization
Contact information
Practice address
143 CYPRESS GROVE CT, 143CYPRESS GROVE, NEW ORLEANS, LA 70131-8562
(504) 274-6190
(504) 333-6179
Mailing address
PO BOX 6041, 143CYPROVE GROVE, NEW ORLEANS, LA 70174-6041
(504) 274-6190
(504) 333-6179
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
LA
Other
Enumeration date
03/25/2008
Last updated
03/25/2008
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