| Bonnabel High School Sbhc Mental Health Services | |
|
2801 Bruin Drive Kenner LA 70065-2473 | |
| (504) 303-6676 | |
| (504) 575-3691 |
| Full Name | Bonnabel High School Sbhc Mental Health Services |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 2801 Bruin Drive, Kenner, Louisiana |
| Authorized Official Name and Position | Mark Keiser (PRESIDENT) |
| Authorized Official Contact | 5045753700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bonnabel High School Sbhc Mental Health Services 2900 Indiana Ave Kenner LA 70065-4605 Ph: (504) 575-3712 | Bonnabel High School Sbhc Mental Health Services 2801 Bruin Drive Kenner LA 70065-2473 Ph: (504) 303-6676 |
| NPI Number | 1275818908 |
|---|---|
| Provider Enumeration Date | 10/13/2011 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275818908 | NPI | - | NPPES |
| 2179756 | Medicaid | LA |
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