Provider Demographics
NPI:1780054783
Name:ADVENT BEHAVIORAL HEALTH SOLUTIONS, INC.
Entity type:Organization
Organization Name:ADVENT BEHAVIORAL HEALTH SOLUTIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:R
Authorized Official - Last Name:DESPENZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-451-5410
Mailing Address - Street 1:2601 N HULLEN ST
Mailing Address - Street 2:SUITE 135
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70002-5900
Mailing Address - Country:US
Mailing Address - Phone:504-451-5410
Mailing Address - Fax:
Practice Address - Street 1:2601 N HULLEN ST
Practice Address - Street 2:SUITE 135
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70002-5900
Practice Address - Country:US
Practice Address - Phone:504-451-5410
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-02
Last Update Date:2015-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service