Provider Demographics
NPI:1023222122
Name:1ST THESSALONIANS COMMUNITY PROGRAMS, INC.
Entity Type:Organization
Organization Name:1ST THESSALONIANS COMMUNITY PROGRAMS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CASSANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:DANGERFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:985-542-2700
Mailing Address - Street 1:904 J W DAVIS DR
Mailing Address - Street 2:
Mailing Address - City:HAMMOND
Mailing Address - State:LA
Mailing Address - Zip Code:70403-5906
Mailing Address - Country:US
Mailing Address - Phone:985-542-2700
Mailing Address - Fax:985-542-3330
Practice Address - Street 1:904 J W DAVIS DR
Practice Address - Street 2:
Practice Address - City:HAMMOND
Practice Address - State:LA
Practice Address - Zip Code:70403-5906
Practice Address - Country:US
Practice Address - Phone:985-542-2700
Practice Address - Fax:985-542-3330
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA9345251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1168629Medicaid