FPHSA

MANDEVILLE, LA
NPI1104376342
Entity TypeOrganization
Authorized ContactNADINE FACIANE
Program Director
985-624-4100
Organization Subpart ?No
Primary Taxonomy324500000X Substance Abuse Rehabilitation Facility
(Licence: LA  960733)
Enumeration Date2016-10-12
Last Update Date2016-10-12
Business Address
FPHSA
23515 HIGHWAY 190
MANDEVILLE, LA 70448-7334
Phone number: 985-624-4100
Mailing Address
FPHSA
PO BOX 37
MANDEVILLE, LA 70470-0037
Phone number: 985-624-4100
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