Parish of Ascension

NPI #1922117514 in Gonzales, Louisiana

Provider Information

NPI Number: 1922117514
Entity Type: Organization
Organization Name: Parish of Ascension
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Aug 29, 2006
Last Updated: Jul 18, 2007

Practice Location

Address: 1112 E ASCENSION COMPLEX BLVD
City: Gonzales
State: Louisiana
ZIP Code: 70737-4265
Phone: (225) 621-5775

Authorized Official

Name: DR. SUSAN C. MITTENDORF, PH.D, LCSW
Title: DIRECTOR
Phone: (225) 621-5775

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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