Organization Name: | ST. MARY PARISH GOVERNMENT/FAIRVIEW TREATMENT CENTE |
NPI Number: | 1801031133 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PAUL C LEESE (ADMINISTRATOR) |
Mailing Address: | 1101 Southeast Blvd Morgan City |
State: | LA US |
Postal Code: | 703805933 |
Phone Number: | 9853956750 |
Fax Number: | 9853956794 |
NPI Enumeration Date: | 12/16/2008 |
NPI Last Update Date: | 12/16/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 324500000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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. |