Healthcare Provider Details

I. General information

NPI: 1982908562
Provider Name (Legal Business Name): METROPOLITAN HUMAN SERVICES DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/22/2010
Last Update Date: 12/22/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

719 ELYSIAN FIELDS AVE
NEW ORLEANS LA
70117-8511
US

IV. Provider business mailing address

400 POYDRAS ST STE 1800
NEW ORLEANS LA
70130-3223
US

V. Phone/Fax

Practice location:
  • Phone: 504-942-8101
  • Fax:
Mailing address:
  • Phone: 504-568-3130
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number107
License Number StateLA

VIII. Authorized Official

Name: CHARLOTTE CUNLIFFE
Title or Position: CHIEF FISCAL OFFICER
Credential:
Phone: 504-568-3130