Organization
LOUISIANA SUPPORT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WALTER B HARRIS (OWNER)
(252) 717-5717
Entity
Organization
Contact information
Practice address
4480 GENERAL DEGAULLE DR, NEW ORLEANS, LA 70131-6941
(504) 309-9046
(504) 309-9216
Mailing address
4480 GENERAL DEGAULLE DR, NEW ORLEANS, LA 70131-6941
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2139495
—
LA
Enumeration date
07/12/2012
Last updated
07/12/2012
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