Organization
DEPARTMENT OF HEALTH & HOSPITALS
Active
Other names
Alcohol and Drug Unit
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAN BOUDREAUX (DIRECTOR)
(985) 624-4100
Entity
Organization
Contact information
Practice address
23664 CARDINAL COVE, MANDEVILLE, LA 70448
(985) 624-4121
(985) 624-4123
Mailing address
PO BOX 1225, MANDEVILLE, LA 70470-1225
(985) 624-4121
(985) 624-4123
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
32
LA
Other
Enumeration date
05/05/2006
Last updated
08/22/2020
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