Fphsa Fontainebleau Treatment Center

NPI 1750711677 - Substance Abuse Rehabilitation Facility - 324500000X

NPI Details
NPI 1750711677
Enumeration Date 11/13/2013
Last Updated 08/25/2015
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name MELANIE MELANIE
Position EXECUTIVE DIRECTOR
Phone (985) 624-4100
Fax (985) 624-4123
Practice Location
23515 HIGHWAY 190
MANDEVILLE LA, 70448-7334, US
Phone (985) 624-4100
Fax (985) 624-4123
Business Location
23515 HIGHWAY 190
MANDEVILLE LA, 70448-7334, US
Phone (985) 624-4100
Fax (985) 624-4123
Toxanomy
Taxonomy Code 324500000X
License State Louisiana
License Number 240
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According to our database, Fphsa Fontainebleau Treatment Center NPI is 1750711677, taxonomy code is 324500000X and license number is 240, license state is located at Louisiana. Fphsa Fontainebleau Treatment Center physically located at 23515 Highway 190, Mandeville LA, 70448-7334. NPI Number 1033115704 has the healthcare provider type.

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1750711677 NPI number is provided on an as is basis without warranty of any kind. 1750711677 is maintained by the National Plan & Provider Enumeration System. The contents of Fphsa Fontainebleau Treatment Center are for informational purposes only.