Penn 123 LLC
Penn 123 LLC is a Community/Behavioral Health Agency in Metairie, Louisiana. Registered with an NPI since 2023.
- In the registry since
- 2023
- Specialties on file
- 3
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
4933 Wabash StMetairie, LA 70001-1031
Phone: (504) 603-3060
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Substance Use Disorder Rehabilitation Clinic/Center (primary) | Taxonomy 261QR0405X |
|---|---|
| Community/Behavioral Health Agency | Taxonomy 251S00000X |
| Substance Abuse Rehabilitation Facility | Taxonomy 324500000X |
Record details
| NPI number | 1144915786 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Yehuda Alter — Ceo · (732) 307-8000 |
| Other names | Avenues Extended Care At Metairie |
| NPI enumerated | April 10, 2023 |
| Last updated in NPPES | April 10, 2023 |
| Certification date | March 31, 2023 |
| Mailing address | 211 Boulevard Of The Americas, Suite 503, Lakewood, NJ 08701 |
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