Organization Name: | SEASIDE HEALTH SYSTEM, LLC |
NPI Number: | 1720345663 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JASON NASSIF (ADMINISTRATOR) |
Mailing Address: | 615 E Worthy St Gonzales |
State: | LA US |
Postal Code: | 707374240 |
Phone Number: | 2252383043 |
Fax Number: | 2256211419 |
NPI Enumeration Date: | 04/17/2012 |
NPI Last Update Date: | 04/17/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 283Q00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | Psychiatric Hospital |
Taxonomy Specialization: | |
Taxonomy Definition: | An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |