Provider Demographics
NPI:1821546284
Name:ST. BERNARD PARISH ADULT DRUG COURT, INC.
Entity Type:Organization
Organization Name:ST. BERNARD PARISH ADULT DRUG COURT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:NICOLLE
Authorized Official - Middle Name:
Authorized Official - Last Name:TOURDOT
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:504-278-4455
Mailing Address - Street 1:1009 W MOREAU ST
Mailing Address - Street 2:
Mailing Address - City:CHALMETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70043-4779
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1009 W MOREAU ST
Practice Address - Street 2:
Practice Address - City:CHALMETTE
Practice Address - State:LA
Practice Address - Zip Code:70043-4779
Practice Address - Country:US
Practice Address - Phone:504-278-4455
Practice Address - Fax:504-278-4457
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-14
Last Update Date:2016-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health