Organization
NOLA INTERVENTION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ADRIENNE DIXSON PH.D. (ADMINISTRATOR)
(614) 602-7614
Entity
Organization
Contact information
Practice address
4300 S I 10 SERVICE RD W, 103L, METAIRIE, LA 70001-7405
(614) 602-7614
Mailing address
4300 S I 10 SERVICE RD W, 103L, METAIRIE, LA 70001-7405
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
10719742#2NJ62
LA
Other
Enumeration date
09/23/2016
Last updated
09/23/2016
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