Organization
PROJECT RECONSTRUCTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE COUSIN (BOARD PRESIDENT)
(504) 300-5883
Entity
Organization
Contact information
Practice address
2651 POYDRAS ST, SUITE 2411, NEW ORLEANS, LA 70119-7579
(504) 300-5883
Mailing address
2651 POYDRAS ST, SUITE 2411, NEW ORLEANS, LA 70119-7579
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/29/2015
Last updated
01/29/2015
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