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Organization

NOLA, PRIDE-WFH LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. NEJUAN BAKEWELL (CEO)
(504) 458-0370
Entity
Organization

Contact information

Practice address
700 PHOSPHOR AVE, SUITE C, METAIRIE, LA 70005
(504) 287-4160
(504) 305-0454
Mailing address
700 PHOSPHOR AVE, SUITE C, METAIRIE, LA 70005
(504) 287-4160
(504) 305-0454

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
05/27/2015
Last updated
12/13/2017
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