Organization
GRACE OUTREACH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PYTHIAN NOAH (DIRECTOR)
(504) 304-9980
Entity
Organization
Contact information
Practice address
2533 LASALLE ST, NEW ORLEANS, LA 70113-2531
(504) 304-9980
(504) 941-7792
Mailing address
PO BOX 4075, LA PLACE, LA 70069-4075
(985) 359-1884
(985) 359-1884
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
415
LA
Other
Enumeration date
06/25/2009
Last updated
12/24/2009
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