Organization Name: | FPHSA FONTAINEBLEAU TREATMENT CENTER |
NPI Number: | 1750711677 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MELANIE WATKINS (EXECUTIVE DIRECTOR) |
Mailing Address: | 23515 Highway 190 Mandeville |
State: | LA US |
Postal Code: | 704487334 |
Phone Number: | 9856244100 |
Fax Number: | 9856244123 |
NPI Enumeration Date: | 11/13/2013 |
NPI Last Update Date: | 08/25/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 324500000X |
License Number: | 240 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Residential Treatment Facilities |
Taxonomy Classification: | Substance Abuse Rehabilitation Facility |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |