Organization
ACIDOM CONSULTING GROUP
Active
Other names
ACIDOM Medical Services
Organization subpart
No
Provider details
NPI number
Authorized official
ROXANNE MODICA (MANAGER)
(504) 340-8880
Entity
Organization
Contact information
Practice address
931 WESTWOOD DR, SUITE E, MARRERO, LA 70072-2400
(504) 340-8880
(504) 340-8884
Mailing address
931 WESTWOOD DR, SUITE E, MARRERO, LA 70072-2400
(504) 340-8880
(504) 340-8884
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/03/2012
Last updated
06/10/2023
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