Organization
TRINITY BEHAVIORAL HEALTH OF PORT ALLEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TROY WYATT EDMOND (DIRECTOR OF OPERATIONS)
(225) 389-5837
Entity
Organization
Contact information
Practice address
2753 COURT STREET, UNIT C, PORT ALLEN, LA 70767
(225) 389-5837
(225) 389-5836
Mailing address
2753 COURT STREET, UNIT C & D, PORT ALLEN, LA 70767-2509
(225) 389-5837
(225) 389-5836
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Enumeration date
09/18/2007
Last updated
11/03/2008
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