| Ekhaya Youth Project | |
|
1112 5th St Gretna LA 70053-6008 | |
| (504) 373-6026 | |
| Not Available |
| Full Name | Ekhaya Youth Project |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1112 5th St, Gretna, Louisiana |
| Authorized Official Name and Position | Bantu D. Gross (MENTAL HEALTH PROFESSIONAL) |
| Authorized Official Contact | 5049408249 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ekhaya Youth Project 2209 S Gayoso St New Orleans LA 70125-4425 Ph: (504) 940-8249 | Ekhaya Youth Project 1112 5th St Gretna LA 70053-6008 Ph: (504) 373-6026 |
| NPI Number | 1063967875 |
|---|---|
| Provider Enumeration Date | 08/22/2016 |
| Last Update Date | 08/22/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063967875 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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