Organization
CHILDREN'S HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYDIA WILEY (CREDENTIALING COORDINATOR)
(504) 896-6644
Entity
Organization
Contact information
Practice address
210 STATE ST BLDG 10, NEW ORLEANS, LA 70118-5735
(504) 896-7200
Mailing address
200 HENRY CLAY AVE, NEW ORLEANS, LA 70118-5720
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
—
—
Other
Enumeration date
08/14/2007
Last updated
10/20/2020
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