Organization
NESS HEALTHCARE NFP
Active
Organization
NESS HEALTHCARE NFP
Active
Other names
Northlake Behavioral Health System
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TONY SHIR (PRESIDENT)
(847) 452-4565
Entity
Organization
Contact information
Practice address
23515 HWY 190, MANDEVILLE, LA 70448
(847) 452-4585
(985) 626-6559
Mailing address
23515 HWY 190, MANDEVILLE, LA 70448
(847) 452-4585
(985) 626-6559
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
—
—
2084P0802X
Addiction Psychiatry Physician
—
—
283Q00000X
Psychiatric Hospital
Primary
214
LA
323P00000X
Psychiatric Residential Treatment Facility
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1710059
—
LA
05
—
2700111
—
LA
Enumeration date
05/20/2006
Last updated
04/06/2022
Update your record
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