Organization
KIDS IN CRISIS PROJECT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BLAKE B. BRUNO (DIRECTOR)
(985) 792-1920
Entity
Organization
Contact information
Practice address
5200 HWY 22, SUITE 2, MANDEVILLE, LA 70471
(985) 792-1920
(985) 792-1980
Mailing address
PO BOX 9127, MANDEVILLE, LA 70470
(985) 792-1920
(985) 792-1980
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
LA
Other
Enumeration date
10/03/2006
Last updated
08/22/2020
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