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Organization

OPTIMAL BEHAVIORAL SUPPORT SERVICES, LLC

Active
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Organization

OPTIMAL BEHAVIORAL SUPPORT SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NDIDI ADEYANJU PHD (EXECUTIVE DIRECTOR)
(919) 260-4757
Entity
Organization

Contact information

Practice address
4700 WICHERS DR, SUITE 206, MARRERO, LA 70072-3041
(919) 260-4757
(888) 400-9860
Mailing address
4700 WICHERS DR, MARRERO, LA 70072-3041
(919) 260-4757
(888) 400-9860

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
02/17/2014
Last updated
02/17/2014
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