Organization · Type 2 NPI

Fphsa Northlake Addictive Disorders Clinic

Community/Behavioral Health Agency · Mandeville, LA

NPI number 1568892289 Active

Practice location

900 Wilkinson St
Mandeville, LA 70448-3533

Call (985) 624-4450 Map

Fax (985) 624-4461

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000X479 (LA)

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1568892289

Fphsa Northlake Addictive Disorders Clinic's National Provider Identifier is 1568892289, issued on Nov 15, 2013. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Mandeville, LA. The record was last updated on Nov 15, 2013.