Organization
FLORIDA PARISHES HUMAN SERVICES AUTHORITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA HARTDEGEN (CLINIC MANAGER)
(985) 624-4450
Entity
Organization
Contact information
Practice address
900 WILKINSON ST, MANDEVILLE, LA 70448-3533
(985) 624-4450
(985) 624-4461
Mailing address
900 WILKINSON ST, MANDEVILLE, LA 70448-3533
(985) 624-4450
(985) 624-4461
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
240617
LA
Other
Enumeration date
11/05/2012
Last updated
11/05/2012
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