Organization
MOMENTUM INSTITUTE OF THERAPEUTIC AND COMMUNAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH JOHNSON (OWNER)
(504) 939-7996
Entity
Organization
Contact information
Practice address
3300 S. BROAD ST., NEW ORLEANS, LA 70125
(504) 939-7996
Mailing address
448 BELLEVILLE ST, NEW ORLEANS, LA 70114-1115
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5082
LA
251S00000X
Community/Behavioral Health Agency
5082
LA
Other
Enumeration date
01/29/2014
Last updated
01/29/2014
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