Impact Behavioral

NPI #1053770685 in Marrero, Louisiana

Provider Information

NPI Number
1053770685
Entity Type
Organization
Organization Name
Impact Behavioral
Primary Specialty
Community/Behavioral Health
Enumeration Date
Feb 10, 2016
Last Updated
Feb 10, 2016

Practice Location

Address
4700 WICHERS DR
Address 2
SUITE 205
ZIP Code
70072-3041
Phone
(504) 407-0709

Authorized Official

Name
MIESHAN MADISON, MA
Title
CLINICIAN
Phone
(504) 394-1774

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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