Organization
CREED GROUP OF LOUISIANA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEMETRA HENDERSON (BILLING MANAGER)
(504) 516-9285
Entity
Organization
Contact information
Practice address
2235 POYDRAS ST STE A, NEW ORLEANS, LA 70119-7561
(504) 814-8001
Mailing address
2235 POYDRAS ST STE A, NEW ORLEANS, LA 70119-7561
(504) 814-8001
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
01/25/2021
Last updated
09/06/2023
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