Florida Parishes Human Services Authority / Fontainebleau Tx Center

NPI #1306800271 in Mandeville, Louisiana

Provider Information

NPI Number
1306800271
Entity Type
Organization
Organization Name
Florida Parishes Human Services Authority / Fontainebleau Tx Center
Primary Specialty
Substance Abuse Rehabilitation Facility
Enumeration Date
Apr 17, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
23861 ROBIN ROAD & HWY 190
ZIP Code
70447-0000
Phone
(985) 624-4100

Authorized Official

Name
DR. MOHAMMAD ALI KHAN, M.D.
Title
PHYSICIAN
Phone
(985) 624-4100

Specialties & Taxonomy Codes

Specialty
Substance Abuse Rehabilitation Facility

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