Organization
ABIDE FAMILY SUPPORT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA A CRINEL (CHIEF EXECUTIVE OFFICER)
(985) 359-2527
Entity
Organization
Contact information
Practice address
554 BELLE TERRE BLVD, SUITE B, LA PLACE, LA 70068-1715
(985) 359-2527
(985) 359-4102
Mailing address
554 BELLE TERRE BLVD, SUITE B, LA PLACE, LA 70068-1715
(985) 359-2527
(985) 359-4102
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
14012
LA
251S00000X
Community/Behavioral Health Agency
PCA 14012
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1024473
—
LA
Enumeration date
09/12/2007
Last updated
02/05/2008
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