Organization
UNITED CEREBRAL PALSY OF G.N.O., INC.
Active
Organization
UNITED CEREBRAL PALSY OF G.N.O., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JO BUGG (EXECUTIVE DIRECTOR)
(504) 461-4266
Entity
Organization
Contact information
Practice address
2200 VETERANS MEMORIAL BLVD, STE 103, KENNER, LA 70062-4001
(504) 461-4266
(504) 461-9976
Mailing address
2200 VETERANS MEMORIAL BLVD, STE 103, KENNER, LA 70062-4001
(504) 461-4266
(504) 461-9976
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
4502096
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4502096
—
LA
Enumeration date
08/07/2009
Last updated
08/07/2009
Update your record
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