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Penn 123 Llc
Substance Abuse Rehabilitation Facility in Metairie, Louisiana
NPI 1932640521

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 1932640521 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 504-780-2766 and via fax at 985-307-0827.

Location: 4933 Wabash St, Metairie, LA, 08701
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1932640521
Provider Name
Penn 123 Llc
Credential
Provider Entity Type
Organization
Address
4933 Wabash St, Metairie, LA, 08701
Phone Number
504-780-2766
Fax Number
985-307-0827
Provider Enumeration Date
03/15/2017
Last Update Date
04/13/2024
institution
Provider Business Practice Location Address Details
Address
4933 Wabash St
City
Metairie
State
Louisiana
Zip
70001
Phone Number
504-780-2766
Fax Number
985-307-0827
person
Provider Business Mailing Address Details
Address
4933 Wabash St
City
Metairie
State
Louisiana
Zip
70001
Phone Number
504-780-2766
Fax Number
985-307-0827
person
Provider's Taxonomy Details 1
Type
Hospital Units
Classification
Rehabilitation, Substance Use Disorder Unit
Speciality
-
Taxonomy
276400000X
License No.
()
Definition
A distinct part of a hospital that provides medically monitored, interdisciplinary addiction-focused treatment to patients/clients who have psychoactive substance use disorders (commonly referred to as alcohol and drug abuse or substance abuse.)
person
Provider's Taxonomy Details 2
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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