Provider First Line Business Practice Location Address:
OPTIMAL BEHAVIORAL SUPPORT SERVICES, LLC
Provider Second Line Business Practice Location Address:
4700 WICHERS DRIVE, SUITE 206
Provider Business Practice Location Address City Name:
MARRERO
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70072
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
504-645-5506
Provider Business Practice Location Address Fax Number:
888-400-9860
Provider Enumeration Date:
06/20/2023