Organization
LOUISIANA RE-ENTRY & REHABILITATION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. REGINALD DUVOR STEWMAN (PRESIDENT)
(504) 595-5015
Entity
Organization
Contact information
Practice address
1628 CARONDELET ST, NEW ORLEANS, LA 70130-4454
(504) 595-5015
(504) 595-5019
Mailing address
1628 CARONDELET STREET, NEW ORLEANS, LA 70130-4454
(504) 595-5015
(504) 595-5019
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
406
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
653435
MHSD
LA
Enumeration date
01/29/2009
Last updated
01/29/2009
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