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Mr. Bradley Wayne Adams SR.
Substance Abuse Rehabilitation Facility in Mandeville, Louisiana
NPI 1326421801

Bradley Wayne Adams SR. is a Substance Abuse Rehabilitation Facility based in Mandeville, LA. Bradley Wayne Adams SR. practices in Mandeville, LA. The NPI Number for Bradley Wayne Adams SR. is 1326421801 and holds a License No. 083102 (Louisiana).

The current practice location address for Bradley Wayne Adams SR. is 23515 Highway 190, Mandeville, LA and can be reached out via phone at 985-624-4100.

Location: 23515 Highway 190, Mandeville, LA, 70448-7334
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326421801
Provider Name
Bradley Wayne Adams SR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
23515 Highway 190, Mandeville, LA, 70448-7334
Phone Number
985-624-4100
Fax Number
Provider Enumeration Date
07/02/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
23515 Highway 190
City
Mandeville
State
Louisiana
Zip
70448-7334
Phone Number
985-624-4100
Fax Number
person
Provider Business Mailing Address Details
Address
23515 Highway 190
City
Mandeville
State
Louisiana
Zip
70448-7334
Phone Number
985-624-4100
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
083102 (Louisiana)
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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