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Penn 123 Llc
Substance Abuse Rehabilitation Facility in Metairie, Louisiana
NPI 1144915786

Penn 123 Llc is a Substance Abuse Rehabilitation Facility based in Lakewood, LA. Penn 123 Llc practices in Metairie, LA. The NPI Number for Penn 123 Llc is 1144915786 and holds a License No. (Louisiana).

The current practice location address for Penn 123 Llc is 4933 Wabash St, Metairie, LA and can be reached out via phone at 504-603-3060.

Location: 4933 Wabash St, Metairie, LA, 08701
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1144915786
Provider Name
Penn 123 Llc
Credential
Provider Entity Type
Organization
Address
4933 Wabash St, Metairie, LA, 08701
Phone Number
504-603-3060
Fax Number
Provider Enumeration Date
04/10/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
4933 Wabash St
City
Metairie
State
Louisiana
Zip
70001-1031
Phone Number
504-603-3060
Fax Number
person
Provider Business Mailing Address Details
Address
4933 Wabash St
City
Metairie
State
Louisiana
Zip
70001-1031
Phone Number
504-603-3060
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
()
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
261QR0405X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
()
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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