NPI: 1902944184
Provider Name: IMPERIAL CALCASIEU HUMAN SERVICES AUTHORITY
Doing Business As: IMPERIAL CALCASIEU HSA BEHAVIORAL HEALTH BEAUREGARD
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization
Specialization: Mental Health (Including Community Mental Health Center)
Address:
106 W PORT ST
DERIDDER, LA
ZIP 70634
Phone: (337) 462-1641
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IMPERIAL CALCASIEU HUMAN SERVICES AUTHORITY is a mental health (including community mental health center) clinic center in Deridder, LA. IMPERIAL CALCASIEU HUMAN SERVICES AUTHORITY NPI is 1902944184. The provider is registered as an organization entity type.
The provider Is Doing Business As Imperial Calcasieu Hsa Behavioral Health Beauregard.
The provider's business location address is:
106 W PORT ST
DERIDDER, LA
ZIP 70634-040
Phone: (337) 462-1641
Fax: (337) 462-1354
The provider's authorized official is Angela Michele Thomas .
The authorized official title is Billing Supervisor and has the following contact phone number (337) 475-8701.
The enumeration date for this NPI number is 2/1/2007 and was last updated on 6/28/2022.