Organization
SIGNS & WONDERS COMMUNITY MENTAL HEALTH CENTER LLC
Active
Other names
southeast professional health group llc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THANE BATTISTE PAINIA (MANAGER)
(225) 687-9902
Entity
Organization
Contact information
Practice address
25341 HWY 1 SOUTH, PLAQUEMINE, LA 70764
(225) 687-9902
(225) 687-9903
Mailing address
PO BOX 291, PLAQUEMINE, LA 70765-0291
(225) 687-9902
(225) 687-9903
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
194709
LA
Other
Enumeration date
07/23/2008
Last updated
08/08/2008
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