Organization · Type 2 NPI

Department of Health and Hospitals

Substance Abuse Rehabilitation Facility · Lake Charles, LA

NPI number 1104871425 Active

Practice location

4012 Avenue H
Lake Charles, LA 70615-5186

Call (337) 491-2355 Map

Fax (337) 491-2492

Specialties and licenses

TaxonomyCodeLicense
Substance Abuse Rehabilitation Facility Primary 324500000X044 (LA)

Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

9 other providers at this address

Other substance abuse rehabilitation facility providers in Lake Charles

See all in Lake Charles →

About NPI 1104871425

Department of Health and Hospitals's National Provider Identifier is 1104871425, issued on May 24, 2006. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Lake Charles, LA. The record was last updated on Aug 22, 2020.