Organization
SOUTHERN WELLNESS PHS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES COOPER JR. (EXECUTIVE DIRECTOR)
(504) 227-0461
Entity
Organization
Contact information
Practice address
3712 MACARTHUR BLVD, SUITE 100, NEW ORLEANS, LA 70114-6802
(504) 227-0461
(504) 227-8398
Mailing address
3712 MACARTHUR BLVD, SUITE 100, NEW ORLEANS, LA 70114-6802
(504) 227-0461
(504) 227-8398
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
—
—
Other
Enumeration date
05/08/2006
Last updated
08/22/2020
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