NPI 1306800271

Florida Parishes Human Services Authority / Fontainebleau Tx Center

Organisation Substance Abuse Rehabilitation Facility Mandeville, LA

Practice location

Address: 23861 Robin Road & Hwy 190, Mandeville, LA 70447-0000
Phone: (985) 624-4100
Fax: (985) 624-4123
Mailing address: PO Box 37, Mandeville, LA 70470-0037

Authorised official

Name: Mohammad Ali Khan
Title: Physician
Phone: (985) 624-4100

Registered specialties

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X Licence 240 (LA)

Other Substance Abuse Rehabilitation Facility providers in Louisiana →

Registry record

NPI: 1306800271
Entity type: Organization
NPI issued: 17 Apr 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.