OrganizationActive
Holistic Educational Rehab Center
NPI 1790902948 · Point of Service · Terrytown, LA
Provider details
- NPI number
- 1790902948
- Entity type
- Organization
- Primary specialty
- Point of ServiceManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Lashun Campbell, Manager(504) 915-6596
- License
- 12455 (LA)
Specialties & taxonomies
Managed Care Organizations
Practice location
1799 Stumpf Blvd
Bldg 7 Ste 7
Terrytown, LA 70056-3950
Phone: (504) 915-6596
Approximate (ZIP-level) locationGet directions
Mailing address
1799 Stumpf Blvd
Terrytown, LA 70056-3950
Registry dates
- Enumerated
- 2007-04-19
- Last updated
- 2009-02-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.