Organization
THE NEUTRAL GROUND COLLECTIVE
Active
Other names
Neutral Ground Collective
Organization subpart
No
Provider details
NPI number
Authorized official
MARK BROUSSARD LCSW (CLINIC MANAGER)
(435) 491-0531
Entity
Organization
Contact information
Practice address
4035 WASHINGTON AVE, NEW ORLEANS, LA 70125-2935
(435) 491-0561
Mailing address
4035 WASHINGTON AVE, NEW ORLEANS, LA 70125-2935
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/30/2021
Last updated
08/11/2022
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