Organization
ASSISI BRIDGE HOUSE INDEPENDENT LIVING PROGRAM
Active
Parent organization
CATHOLIC CHARITIES OF THE DIOCESE OF HOUMA-THIBODAUX
Organization subpart
Yes
Provider details
NPI number
Legal business name
CATHOLIC CHARITIES OF THE DIOCESE OF HOUMA-THIBODAUX
Authorized official
MR. ROBERT DAMIEN GORMAN LCSW, ACSW (EXECUTIVE DIRECTOR)
(985) 876-0490
Entity
Organization
Contact information
Practice address
700 LEVRON ST APT 12D, HOUMA, LA 70360-5574
(985) 872-5529
(985) 857-8270
Mailing address
1220 AYCOCK ST, HOUMA, LA 70360-6402
(985) 876-0490
(985) 876-7751
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
2437
LA
Other
Enumeration date
02/27/2012
Last updated
02/27/2012
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