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Organization

BAYOU HEALTH SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID GAINES (OWNER/CEO)
(504) 919-0039
Entity
Organization

Contact information

Practice address
1615 POYDRAS ST, NEW ORLEANS, LA 70112-1254
(504) 919-0039
Mailing address
1615 POYDRAS ST, NEW ORLEANS, LA 70112-1254
(504) 919-0039

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
10/28/2015
Last updated
10/28/2015
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