Organization
IMPACT BEHAVIOR HEALTH SERVICES LLC.
Active
Other names
IMPACT BEHAVIOR HEALTYH SERRVICES LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN ANTHONY CLARK MASTER DEGREE (CEO)
(504) 304-4097
Entity
Organization
Contact information
Practice address
2439 MANHATTAN BLVD STE 402, HARVEY, LA 70058-5469
(504) 662-7617
(504) 218-7962
Mailing address
2439 MANHATTAN BLVD STE 402, HARVEY, LA 70058-5469
(504) 304-4097
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/18/2012
Last updated
11/29/2023
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