NPI 1932640521

Penn 123 LLC

Organisation Substance Abuse Rehabilitation Facility Metairie, LA

Practice location

Address: 4933 Wabash St, Metairie, LA 70001
Phone: (504) 780-2766
Fax: (985) 307-0827
Mailing address: 1600 Avenue of the States STE 700, Lakewood, NJ 08701-4909

Authorised official

Name: Hudi Alter
Title: Ceo
Phone: (732) 307-8000

Registered specialties (2)

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X

Other Substance Abuse Rehabilitation Facility providers in Louisiana →

Substance Use Disorder Rehabilitation Hospital Unit

Hospital Units Taxonomy 276400000X

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Registry record

NPI: 1932640521
Entity type: Organization
NPI issued: 15 Mar 2017
Record last updated: 7 May 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.