Organization
ODYSSEY HOUSE LOUISIANA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMBERZETTE K MULKEY (EXECUTIVE ASSISTANT)
(504) 220-8058
Entity
Organization
Contact information
Practice address
4012 AVENUE H, LAKE CHARLES, LA 70615-5186
(337) 433-3786
(504) 267-8571
Mailing address
1125 N TONTI ST, NEW ORLEANS, LA 70119-3598
(504) 821-9211
(504) 267-8571
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
07/09/2019
Last updated
07/09/2019
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