Organization
200 SOUTH BROAD ST SUITE 7
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANICE BUTLER CSW, MSW, MS (EXECUTIVE DIRECTOR)
(504) 503-9173
Entity
Organization
Contact information
Practice address
200 S BROAD ST STE 7, NEW ORLEANS, LA 70119-6447
(504) 822-0090
Mailing address
200 S BROAD ST STE 7, NEW ORLEANS, LA 70119-6447
(504) 822-0090
(504) 822-0091
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/24/2013
Last updated
10/24/2013
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