PENN 123 LLC is a substance abuse rehabilitation facility in Metairie, LA. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. PENN 123 LLC NPI is 1932640521. The provider is registered as an organization entity type.
The provider Is Doing Business As Avenues Recovery Center Of New Orleans.
The provider's business location address is:
4933 WABASH ST
METAIRIE, LA
ZIP 70001
Phone: (504) 780-2766
Fax: (985) 307-0827
The provider's authorized official is Hudi Alter .
The authorized official title is Ceo and has the following contact phone number (732) 307-8000.
The CLIA number assigned to this NPI record is 19D2014890 - other - addiction treatment faci with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 3/15/2017 and was last updated on 4/4/2024.