Imperial Calcasieu Human Services Authority
Clinic/Center, Mental Health (Including Community Mental Health Center) in Lake Charles, LA. Organization (NPI-2).
NPI number1457789802
StatusActive
Last updated in NPPESOct 23, 2013
Details
- NPI
- 1457789802
- Entity type
- Organization (NPI-2)
- Legal business name
- Imperial Calcasieu Human Services Authority
- Organization subpart
- Yes
- Enumeration date
- Oct 23, 2013
- Last updated
- Oct 23, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | 95 | LA | Yes |
Other names
- Lcbhc Childrens Outreach Services (Doing Business As)
Practice location
3505 5th AveSuite C
Lake Charles, LA 70607-2156
Phone 337-475-3100 · Fax 337-475-3105
Mailing address
3505 5th AveSuite C
Lake Charles, LA 70607-2156
Phone 337-475-3100 · Fax 337-475-3105
Authorized official
Tanya McGee
Executive Director
3374753100
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