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NPI 1700071131

NPI 1700071131 : RESPONSIBILITY HOUSE, INC. : GRETNA, LA

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General NPI Number Information
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    NPI Number           |    1700071131
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    Entity Type          |    Organization 
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    Legal Business Name  |    RESPONSIBILITY HOUSE, INC. 
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Dates
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    Enumeration Date     |    09/10/2007
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    Last Update Date     |    09/10/2007
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Provider Practice Location Address
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    Address Line         |    521 HAMILTON ST 
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    City                 |    GRETNA
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    State                |    LA
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    Zip                  |    70053-4716
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    Country              |    US
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    Telephone            |    504-324-6265
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    Fax                  |    504-218-7941
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Provider Business Mailing Address
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    Address Line         |    PO BOX 640548 
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    City                 |    KENNER
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    State                |    LA
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    Zip                  |    70064-0548
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    Country              |    US
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    Telephone            |    504-366-6217
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    Fax                  |    
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Authorized Official
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    Title or Position    |    EXECUTIVE DIRECTOR
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    Name                 |     WILLIAM MICHAEL MARTYN 
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    Credential           |    
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    Telephone            |    504-261-7515
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    324500000X
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    Taxonomy Name        |    Substance Abuse Rehabilitation Facility
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    License Number       |    223
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    License Number State |    LA
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