NPI 1750711677

Fphsa Fontainebleau Treatment Center

Organisation Substance Abuse Rehabilitation Facility Mandeville, LA

Practice location

Address: 23515 Highway 190, Mandeville, LA 70448-7334
Phone: (985) 624-4100
Fax: (985) 624-4123

Authorised official

Name: Melanie Watkins
Title: Executive Director
Phone: (985) 543-4333

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: 1750711677
Entity type: Organization
NPI issued: 13 Nov 2013
Record last updated: 25 Aug 2015

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.