Organization
ADDICTION,EDUCATION,EVALUATION, AND TREATMENT
Active
Other names
AEET
Organization subpart
No
Provider details
NPI number
Authorized official
SID KENNEDY SAC (DIRECTOR)
(985) 516-3540
Entity
Organization
Contact information
Practice address
450 NORTH CAUSEWAY, SUITEB, MANDEVILLE, LA 70448
(985) 516-3540
Mailing address
450 NORTH CAUSEWAY, SUITEB, MANDEVILLE, LA 70448
(985) 516-3540
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
325
LA
Other
Enumeration date
05/23/2007
Last updated
06/13/2008
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