Provider Demographics
NPI:1093954356
Name:METROPOLITAN HUMAN SERVICES DISTRICT
Entity Type:Organization
Organization Name:METROPOLITAN HUMAN SERVICES DISTRICT
Other - Org Name:BEHAVIORAL HEALTH CARE PROVIDER
Other - Org Type:Other Name
Authorized Official - Title/Position:COMMUNITY OUTREACH DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:SETON
Authorized Official - Last Name:JENKINS
Authorized Official - Suffix:
Authorized Official - Credentials:LPP
Authorized Official - Phone:504-568-3130
Mailing Address - Street 1:4408 HENICAN PL
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70003-1202
Mailing Address - Country:US
Mailing Address - Phone:504-400-0157
Mailing Address - Fax:
Practice Address - Street 1:400 POYDRAS ST
Practice Address - Street 2:SUITE 1800
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70130-3245
Practice Address - Country:US
Practice Address - Phone:504-568-3130
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-10
Last Update Date:2009-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1029302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1029OtherADDICTIVE DISORDER REGULATORY AUTHORITY