Organization
EKHAYA YOUTH PROJECT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RONISHA JOHNSON MSW, CSW (MENTAL HEALTH PROFESSIONAL)
(225) 505-8712
Entity
Organization
Contact information
Practice address
8719 SHARON HILLS BLVD, BATON ROUGE, LA 70811-2464
(225) 505-8712
Mailing address
8719 SHARON HILLS BLVD, BATON ROUGE, LA 70811-2464
(225) 505-8712
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
11446
LA
Other
Enumeration date
06/20/2016
Last updated
06/20/2016
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