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Organization

IN THIS TOGETHER

Active
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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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