Organization
BEACON BEHAVIORAL HOSPITAL NEW ORLEANS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILLIP SEAN WENDELL (CEO)
(225) 810-4040
Entity
Organization
Contact information
Practice address
14500 HAYNE BLVD STE 200, NEW ORLEANS, LA 70128-1751
(504) 210-0460
(504) 210-0970
Mailing address
4601 BLUEBONNET BLVD STE B, BATON ROUGE, LA 70809-9656
(225) 810-4040
(225) 810-4050
Taxonomy
Speciality
Code
Description
License number
State
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05700076
—
MS
05
—
1455181
—
LA
Enumeration date
01/23/2020
Last updated
12/24/2020
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