Provider First Line Business Practice Location Address:
1440 CANAL STRTEET- TB 52
Provider Second Line Business Practice Location Address:
TULANE: DEPARTMENT OF CHILD PSYCHIATRY
Provider Business Practice Location Address City Name:
NEW ORLEANS
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70112
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
504-988-9180
Provider Business Practice Location Address Fax Number:
504-988-4264
Provider Enumeration Date:
04/09/2007