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Organization

ST. MARY PARISH GOVERNMENT/FAIRVIEW TREATMENT CENTE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PAUL C LEESE LAC/CCS (ADMINISTRATOR)
(985) 395-6750
Entity
Organization

Contact information

Practice address
1101 SOUTHEAST BLVD, MORGAN CITY, LA 70380-5933
(985) 395-6750
(985) 395-6794
Mailing address
1101 SOUTHEAST BLVD, MORGAN CITY, LA 70380-5933
(985) 395-6750
(985) 395-6794

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary

Other

Enumeration date
12/16/2008
Last updated
12/16/2008
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