Provider Demographics
NPI:1629895206
Name:VOLUNTEERS OF AMERICA SOUTHEAST LOUISIANA, INC.
Entity type:Organization
Organization Name:VOLUNTEERS OF AMERICA SOUTHEAST LOUISIANA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EVP OF ENTERPRISE & ADMINISTRATION
Authorized Official - Prefix:
Authorized Official - First Name:JASON
Authorized Official - Middle Name:
Authorized Official - Last Name:BURT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-486-8674
Mailing Address - Street 1:4152 CANAL ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70119-5941
Mailing Address - Country:US
Mailing Address - Phone:504-486-8674
Mailing Address - Fax:504-486-8674
Practice Address - Street 1:1801 CANAL ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70112-3041
Practice Address - Country:US
Practice Address - Phone:504-708-1700
Practice Address - Fax:504-708-1700
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VOLUNTEERS OF AMERICA SOUTHEAST LOUISIANA, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-09-24
Last Update Date:2024-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility