Organization
FPHSA NORTHLAKE ADDICTIVE DISORDERS CLINIC
Active
Parent organization
FLORIDA PARISHES HUMAN SERVICES AUTHORITY
Organization subpart
Yes
Provider details
NPI number
Legal business name
FLORIDA PARISHES HUMAN SERVICES AUTHORITY
Authorized official
MRS. MELANIE WATKINS (EXECUTIVE DIRECTOR)
(985) 748-2220
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
251S00000X
Community/Behavioral Health Agency
Primary
479
LA
Other
Enumeration date
11/15/2013
Last updated
11/15/2013
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