Organization
COMMUNITY COMMITMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NICOLE LETRICE BOUIE LMSW (CO-OWNER / CEO-DIRECTOR)
(504) 931-0549
Entity
Organization
Contact information
Practice address
8926 HICKORY ST, NEW ORLEANS, LA 70118-1446
(504) 931-0549
(504) 861-0202
Mailing address
2219 DANTE ST, NEW ORLEANS, LA 70118-2956
(504) 931-0549
(504) 861-0202
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
6170
LA
251S00000X
Community/Behavioral Health Agency
Primary
6170
LA
Other
Enumeration date
08/15/2011
Last updated
08/15/2011
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