Organization
EXCELTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL ANDRY (CEO)
(504) 524-1210
Entity
Organization
Contact information
Practice address
4422 GENERAL MEYER AVE, SUITE 103, NEW ORLEANS, LA 70131-3588
(504) 526-1179
Mailing address
1622 PAINTERS ST, NEW ORLEANS, LA 70117-7733
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
12477
LA
Other
Enumeration date
03/29/2016
Last updated
03/29/2016
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