NPI 1326421801

Bradley Wayne Adams

Practitioner Substance Abuse Rehabilitation Facility Mandeville, LA

Practice location

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

Registered specialties

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X Licence 083102 (LA)

Other Substance Abuse Rehabilitation Facility providers in Louisiana →

Registry record

NPI: 1326421801
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Jul 2015
Record last updated: 2 Jul 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.