Provider Demographics
NPI:1508160185
Name:METROPOLITAN HUMAN SERVICES DISTRICT
Entity Type:Organization
Organization Name:METROPOLITAN HUMAN SERVICES DISTRICT
Other - Org Name:ST. BERNARD COMMUNITY HEALTH CONNECTION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF FISCAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:TRACI
Authorized Official - Middle Name:R
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-568-3130
Mailing Address - Street 1:3100 GENERAL DEGAULLE DR
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70114-6632
Mailing Address - Country:US
Mailing Address - Phone:504-535-2936
Mailing Address - Fax:
Practice Address - Street 1:6624 SAINT CLAUDE AVE
Practice Address - Street 2:
Practice Address - City:ARABI
Practice Address - State:LA
Practice Address - Zip Code:70032-1238
Practice Address - Country:US
Practice Address - Phone:504-278-7401
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:METROPOLITAN HUMAN SERVICES DISTRICT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-12-22
Last Update Date:2021-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA139251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health