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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