Organization
ODYSSEY HOUSE LOUISIANA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMBERZETTE MULKEY (EXEC. ASSISTANT)
(504) 821-9211
Entity
Organization
Contact information
Practice address
2700 S. BROAD ST, NEW ORLEANS, LA 70125
(507) 821-9211
(504) 267-8571
Mailing address
1125 N TONTI ST, NEW ORLEANS, LA 70119-3598
(504) 821-9211
(504) 267-8571
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
06/08/2019
Last updated
06/08/2019
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