Organization
DUVAL LANGSTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATRICE TINA LAIN BA (OWNER/DIRECTOR)
(504) 241-8188
Entity
Organization
Contact information
Practice address
9235 LAKE FOREST BLVD, NEW ORLEANS, LA 70127-3043
(504) 241-8188
(504) 264-5941
Mailing address
1734 GALLIER ST, NEW ORLEANS, LA 70117-6032
(504) 256-4836
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/29/2013
Last updated
10/29/2013
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