New Age Social Services
Clinic/Center, Mental Health (Including Community Mental Health Center) in Gretna, LA. Organization (NPI-2).
NPI number1679945968
StatusActive
Last updated in NPPESJul 30, 2023
Details
- NPI
- 1679945968
- Entity type
- Organization (NPI-2)
- Legal business name
- New Age Social Services
- Organization subpart
- No
- Enumeration date
- Oct 26, 2015
- Certification date
- Jul 29, 2023
- Last updated
- Jul 30, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
| 251S00000X | Community/Behavioral Health | – | – |
Practice location
623 Franklin AveGretna, LA 70053-2115
Phone 504-533-9885
Mailing address
623 Franklin AveGretna, LA 70053-2115
Phone 225-802-9730
Authorized official
Keisha Anine Woods
Owner
2258029730
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