NPI 1033167762

Department of Health & Hospitals

Organisation Substance Abuse Rehabilitation Facility Mandeville, LA

Practice location

Address: 23664 Cardinal Cove, Mandeville, LA 70448
Phone: (985) 624-4121
Fax: (985) 624-4123
Mailing address: PO Box 1225, Mandeville, LA 70470-1225

Authorised official

Name: Dan Boudreaux
Title: Director
Phone: (985) 624-4100

Registered specialties

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X Licence 32 (LA)

Other Substance Abuse Rehabilitation Facility providers in Louisiana →

Registry record

NPI: 1033167762
Entity type: Organization
NPI issued: 5 May 2006
Record last updated: 22 Aug 2020

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.