Organization
NOLA DETOX, LLC
Active
Other names
Nola Detox
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL FORMAN (ADMINISTRATOR)
(504) 975-5552
Entity
Organization
Contact information
Practice address
4201 WOODLAND DR FL 3, NEW ORLEANS, LA 70131-7339
(504) 975-5552
Mailing address
3221 BEHRMAN PL STE 202A, NEW ORLEANS, LA 70114-8270
(504) 975-5552
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
05/13/2021
Last updated
01/28/2022
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