APPLEGATE RECOVERY LAKE CHARLES NPI 1205137197

NPI Information

APPLEGATE RECOVERY LAKE CHARLES is a health service clinic center in Lake Charles, LA. APPLEGATE RECOVERY LAKE CHARLES NPI is 1205137197. The provider is registered as an organization entity type.

The provider's business location address is:

617 W PRIEN LAKE RD
STE: L
LAKE CHARLES, LA
ZIP 70601-386
Phone: (337) 540-7184

The provider's authorized official is Susan Woodward .
The authorized official title is Program Director and has the following contact phone number (337) 540-7184.

The CLIA number assigned to this NPI record is 19D2021840 - other - narcotic treatment center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/8/2010 and was last updated on 11/8/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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