institution
Imperial Calcasieu Human Services Authority
Mental Health Clinic/Center (Including Community Mental Health Center) in Lake Charles, Louisiana
NPI 1952449118

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 1952449118 and holds a License No. 95 (Louisiana).

The current practice location address for Imperial Calcasieu Human Services Authority is 4105 Kirkman St, Lake Charles, LA and can be reached out via phone at 337-475-8022 and via fax at 337-475-8054. You can also correspond with Imperial Calcasieu Human Services Authority through the mailing address at 4105 KIRKMAN ST, LAKE CHARLES, LA - 70607-4603 (mailing address contact number: 337-475-8022).

Location: 4105 Kirkman St, Lake Charles, LA, 70607-4603
institution
Provider Profile Details
NPI Number
1952449118
Provider Name
Imperial Calcasieu Human Services Authority
Credential
Provider Entity Type
Organization
Address
4105 Kirkman St, Lake Charles, LA, 70607-4603
Phone Number
337-475-8022
Fax Number
337-475-8054
Provider Enumeration Date
02/01/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1710041 05 LA
institution
Provider Business Practice Location Address Details
Address
4105 Kirkman St
City
State
Zip
70607-4603
Phone Number
337-475-8022
Fax Number
337-475-8054
person
Provider Business Mailing Address Details
Address
4105 Kirkman St
City
State
Zip
70607-4603
Phone Number
337-475-8022
Fax Number
337-475-8054
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Adult Medicine
Taxonomy
License No.
95 (Louisiana)
Definition
Definition to come.
person
Provider's Taxonomy Details 2
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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