Provider First Line Business Practice Location Address:
1440 CANAL ST, TB 53
Provider Second Line Business Practice Location Address:
10TH FLOOR DEPARTMENT OF PSYCHIATRY AND NEUROLOGY
Provider Business Practice Location Address City Name:
NEW ORLEANS
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70112-2715
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
504-988-2201
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/06/2007