Organization
ADICOM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL J COLEMAN (NON LICENSE BEHAVIOR HEALTH PROVIDE)
(504) 505-7467
Entity
Organization
Contact information
Practice address
604 MONTICELLO DR, LA PLACE, LA 70068-2231
(504) 505-7467
Mailing address
604 MONTICELLO DR, LA PLACE, LA 70068-2231
(504) 505-7467
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/09/2023
Last updated
01/09/2023
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