institution
Imperial Calcasieu Human Services Authority
Mental Health Clinic/Center (Including Community Mental Health Center) in Lake Charles, Louisiana
NPI 1457789802

Imperial Calcasieu Human Services Authority is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Lake Charles, LA and is specialized in Mental Health (Including Community Mental Health Center). Imperial Calcasieu Human Services Authority practices in Lake Charles, LA. The NPI Number for Imperial Calcasieu Human Services Authority is 1457789802 and holds a License No. 95 (Louisiana).

The current practice location address for Imperial Calcasieu Human Services Authority is 3505 5Th Ave, Lake Charles, LA and can be reached out via phone at 337-475-3100 and via fax at 337-475-3105. You can also correspond with Imperial Calcasieu Human Services Authority through the mailing address at 3505 5TH AVE, LAKE CHARLES, LA - 70607-2156 (mailing address contact number: 337-475-3100).

Location: 3505 5Th Ave, Lake Charles, LA, 70607-2156
institution
Provider Profile Details
NPI Number
1457789802
Provider Name
Imperial Calcasieu Human Services Authority
Credential
Provider Entity Type
Organization
Address
3505 5Th Ave, Lake Charles, LA, 70607-2156
Phone Number
337-475-3100
Fax Number
337-475-3105
Provider Enumeration Date
10/23/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1710041 05 LA
institution
Provider Business Practice Location Address Details
Address
3505 5Th Ave
City
State
Zip
70607-2156
Phone Number
337-475-3100
Fax Number
337-475-3105
person
Provider Business Mailing Address Details
Address
3505 5Th Ave
City
State
Zip
70607-2156
Phone Number
337-475-3100
Fax Number
337-475-3105
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
95 (Louisiana)
Definition
Definition to come...
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