Louis Infant Crisis Center

Organization Active NPI Emotionally Disturbed Childrens' Residential Treatment Facility · Houma, LA

NPI 1124376165 · NPPES record last updated Aug 23, 2012

Key facts

NPI
1124376165
Entity type
Organization (NPI type 2)
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X
License
11609 (LA)
Legal business name
LOUIS INFANT CRISIS CENTER
Practice address
221 El Paso Dr
Houma, LA 70360-7309
Phone
(985) 872-4984
Fax
(985) 872-0017
NPI assigned
Aug 23, 2012
Organization subpart
Yes
Parent organization (as reported)
BAYOU AREA CHILDREN'S FOUNDATION

Authorized official

Name
Rosario O'Connell
Title
Administrator
Phone
(985) 872-4984

Corporate family (same tax ID) 2

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Louis Infant Crisis Center (3 organizations share this tax ID)
Part of
Louis Infant Crisis Center

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X 11609 LA Yes

Addresses

Primary practice location

221 El Paso Dr
Houma, LA 70360-7309

Mailing address

PO Box 2866
Houma, LA 70361-2866
Phone (985) 872-4984

Other identifiers

IdentifierTypeStateIssuer
00000000OtherLANON-MEDICAL GROUP HOME CONTRACTING WITH MAGELLAN FOR MEDICAID REIMBURSEMENT

Other names

  • El Paso House Other name

Other providers in Houma, LA

All providers in Houma, LA · Emotionally Disturbed Childrens' Residential Treatment Facility in Louisiana

Sources for this page

Verify at the official NPI Registry.