Provider Demographics
NPI:1982908562
Name:METROPOLITAN HUMAN SERVICES DISTRICT
Entity Type:Organization
Organization Name:METROPOLITAN HUMAN SERVICES DISTRICT
Other - Org Name:CHARTRES-PONTCHARTRAIN COMMUNITY HEALTH CONNECTION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF FISCAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:CHARLOTTE
Authorized Official - Middle Name:
Authorized Official - Last Name:CUNLIFFE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-568-3130
Mailing Address - Street 1:400 POYDRAS ST STE 1800
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70130-3223
Mailing Address - Country:US
Mailing Address - Phone:504-568-3130
Mailing Address - Fax:
Practice Address - Street 1:719 ELYSIAN FIELDS AVE
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70117-8511
Practice Address - Country:US
Practice Address - Phone:504-942-8101
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:2010-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA107251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health