Provider Demographics
NPI:1609132935
Name:ASSURANCE FOR TOMORROWS LEADERS YOUTH FOUNDATION, INC.
Entity Type:Organization
Organization Name:ASSURANCE FOR TOMORROWS LEADERS YOUTH FOUNDATION, INC.
Other - Org Name:ATLS YOUTH FOUNDATION, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR/CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:ANNETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:504-452-0110
Mailing Address - Street 1:2439 DELACHAISE ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70115-6123
Mailing Address - Country:US
Mailing Address - Phone:504-452-0110
Mailing Address - Fax:888-552-2718
Practice Address - Street 1:2439 DELACHAISE ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70115-6123
Practice Address - Country:US
Practice Address - Phone:504-452-0110
Practice Address - Fax:888-552-2718
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-11
Last Update Date:2012-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health