Organization
FIRST STAGES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHARONDA BAHAM RUBIN RSW, MSW (PROGRAM DIRECTOR)
(504) 837-7699
Entity
Organization
Contact information
Practice address
3445 N CAUSEWAY BLVD, SUITE 317, METAIRIE, LA 70002-3734
(504) 837-7699
(504) 837-7615
Mailing address
PO BOX 1032, BOUTTE, LA 70039-1032
(504) 837-7699
(504) 837-7615
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
7179
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1408808
—
LA
Enumeration date
11/19/2007
Last updated
11/19/2007
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