Organization · Type 2 NPI

Department of Health and Hospital

Mental Health Clinic/Center (Including Community Mental Health Center) · Mandeville, LA

NPI number 1215080478 Active

Practice location

900 Wilkinson St
Mandeville, LA 70448-3533

Call (985) 624-4450 Map

Fax (985) 624-4461

Specialties and licenses

TaxonomyCodeLicense
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801X119 (LA)

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

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About NPI 1215080478

Department of Health and Hospital's National Provider Identifier is 1215080478, issued on Jan 19, 2007. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Mandeville, LA. The record was last updated on Dec 27, 2007.