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Organization

PENN 123 LLC

Active
Other names
Avenues Recovery Center of New Orleans
Organization subpart
No

Provider details

NPI number
Authorized official
HUDI ALTER (CEO)
(732) 307-8000
Entity
Organization

Contact information

Practice address
4933 WABASH ST, METAIRIE, LA 70001
(504) 780-2766
(985) 307-0827
Mailing address
1600 AVENUE OF THE STATES STE 700, LAKEWOOD, NJ 08701-4909
(732) 967-2635

Taxonomy

Speciality
Code
Description
License number
State
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
324500000X
Substance Abuse Rehabilitation Facility
Primary

Other

Enumeration date
03/15/2017
Last updated
05/07/2026
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