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Disney & Associates, INC

Clinic/Center, Mental Health (Including Community Mental Health Center) in Lake Charles, LA. Organization (NPI-2).

NPI number1225183213
StatusActive
Last updated in NPPESSep 27, 2024

Details

NPI
1225183213
Entity type
Organization (NPI-2)
Legal business name
Disney & Associates, INC
Organization subpart
No
Enumeration date
Jan 23, 2007
Certification date
Sep 27, 2024
Last updated
Sep 27, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes
251S00000X Community/Behavioral Health2203783669LA

Practice location

133 Jefferson Dr
Lake Charles, LA 70605-5713

Phone 337-431-7194 · Fax 279-205-3136

Mailing address

133 Jefferson Dr
Lake Charles, LA 70605-5713

Phone 337-431-7194 · Fax 279-205-3136

Authorized official

Karen Lynne Elfert
Business Manager
3374317194

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