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Organization

REACHING FOR SUCCESS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DONNA M JACKSON PHD (EXECUTIVE/ CEO)
(504) 832-4989
Entity
Organization

Contact information

Practice address
827 CAUSEWAY BLVD STE 106, NEW ORLEANS, LA 70121-2739
(504) 892-4989
(504) 831-7712
Mailing address
827 CAUSEWAY BLVD STE 106, NEW ORLEANS, LA 70121-2739
(504) 892-4989
(504) 831-7712

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
CM27039
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2117653
LA
Enumeration date
11/20/2010
Last updated
11/20/2010
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