Organization
IN THIS TOGETHER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL HICKERSON MSW (EXECUTIVE DIRECTOR)
(504) 638-6519
Entity
Organization
Contact information
Practice address
4833 CONTI ST STE 209, NEW ORLEANS, LA 70119-4369
(504) 373-2629
Mailing address
4833 CONTI ST STE 209, NEW ORLEANS, LA 70119-4369
(504) 373-2629
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/19/2013
Last updated
07/26/2013
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