Organization
WRAP AROUND SERVICES OF RACELAND LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EARNEST ELEGBONOSA AIRHIA LPC (EXECUTIVE/CLINICAL DIRECTOR)
(985) 537-6776
Entity
Organization
Contact information
Practice address
4079 HIGHWAY 1, RACELAND, LA 70394-3002
(985) 537-6776
(985) 537-6779
Mailing address
4079 HIGHWAY 1, RACELAND, LA 70394-3002
(985) 537-6776
(985) 537-6779
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/15/2011
Last updated
08/15/2011
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