NPI: 1447530134
Provider Name: CENIKOR FOUNDATION
Doing Business As: JOSEPH R BRISCOE TREATMENT CENTER DETOX
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization
Specialization: Rehabilitation, Substance Use Disorder
Address:
4012 AVENUE H
LAKE CHARLES, LA
ZIP 70615
Phone: (337) 491-2355
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CENIKOR FOUNDATION is a rehabilitation and substance use disorder clinic center in Lake Charles, LA. CENIKOR FOUNDATION NPI is 1447530134. The provider is registered as an organization entity type.
The provider Is Doing Business As Joseph R Briscoe Treatment Center Detox.
The provider's business location address is:
4012 AVENUE H
LAKE CHARLES, LA
ZIP 70615-186
Phone: (337) 491-2355
Fax: (337) 491-2492
The provider's authorized official is Matt Kuhlman .
The authorized official title is Cfo and has the following contact phone number (713) 266-9944.
The enumeration date for this NPI number is 8/25/2011 and was last updated on 11/10/2020.