NPI: 1346775210
Provider Name: APPLEGATE HEALTH SERVICES INC
Doing Business As: APPLEGATE RECOVERY OF LAKE CHARLES
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization
Specialization: Rehabilitation, Substance Use Disorder
CLIA Number: 45D2081288
Address:
617 W PRIEN LAKE RD
SUITE L
LAKE CHARLES, LA
ZIP 70601
Phone: (337) 540-7184
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APPLEGATE HEALTH SERVICES INC is a rehabilitation and substance use disorder clinic center in Lake Charles, LA. APPLEGATE HEALTH SERVICES INC NPI is 1346775210. The provider is registered as an organization entity type.
The provider Is Doing Business As Applegate Recovery Of Lake Charles.
The provider's business location address is:
617 W PRIEN LAKE RD
SUITE L
LAKE CHARLES, LA
ZIP 70601-386
Phone: (337) 540-7184
The provider's authorized official is Kathryn Thomas .
The authorized official title is Ceo and has the following contact phone number (348) 742-0500.
The CLIA number assigned to this NPI record is 45D2081288 - other - addiction treatment facil with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 4/27/2017 and was last updated on 4/27/2017.