NPI | 1306800271 |
---|---|
Other Name | FONTAINEBLEAU TREATMENT CENTER |
Entity Type | Organization |
Authorized Contact | MOHAMMAD ALI KHAN Physician 985-624-4100 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: LA 240) |
Enumeration Date | 2006-04-17 |
Last Update Date | 2020-08-22 |