IMPERIAL CALCASIEU HUMAN SERVICES AUTHORITY NPI 1457789802

NPI Information

IMPERIAL CALCASIEU HUMAN SERVICES AUTHORITY is a mental health (including community mental health center) clinic center in Lake Charles, LA. IMPERIAL CALCASIEU HUMAN SERVICES AUTHORITY NPI is 1457789802. The provider is registered as an organization entity type.
The provider Is Doing Business As Lcbhc Childrens Outreach Services.

The provider's business location address is:

3505 5TH AVE
SUITE C
LAKE CHARLES, LA
ZIP 70607-156
Phone: (337) 475-3100
Fax: (337) 475-3105

The provider's authorized official is Tanya Mcgee .
The authorized official title is Executive Director and has the following contact phone number (337) 475-3100.

The enumeration date for this NPI number is 10/23/2013 and was last updated on 10/23/2013.

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:

Other Identifiers

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