Organization
BACK TO THE REAL WORLD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELISSA M GAD APRN (GENERAL PARTNER)
(337) 593-0830
Entity
Organization
Contact information
Practice address
234 RUE BEAUREGARD, STE 100, LAFAYETTE, LA 70508-3285
(337) 593-0830
(337) 593-0122
Mailing address
234 RUE BEAUREGARD, STE 100, LAFAYETTE, LA 70508-3285
(337) 593-0830
(337) 593-0122
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
11569R
LA
Other
Enumeration date
04/22/2010
Last updated
04/22/2010
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