Enhanced Destiny Services Inc | |
2740 Iberville St New Orleans LA 70119 | |
(504) 821-1339 | |
(504) 821-8185 |
Full Name | Enhanced Destiny Services Inc |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 2740 Iberville St, New Orleans, Louisiana |
Authorized Official Name and Position | Michael Robert Mcneil (PROGRAM DIRECTOR) |
Authorized Official Contact | 5048847560 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Enhanced Destiny Services Inc 2740 Iberville St New Orleans LA 70119 Ph: (504) 821-1339 | Enhanced Destiny Services Inc 2740 Iberville St New Orleans LA 70119 Ph: (504) 821-1339 |
NPI Number | 1023157302 |
---|---|
Provider Enumeration Date | 02/05/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023157302 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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