Organization · Type 2 NPI

Imperial Calcasieu Human Services Authority

Mental Health Clinic/Center (Including Community Mental Health Center) · Lake Charles, LA

NPI number 1457789802 Active

Practice location

3505 5th Ave, Suite C
Lake Charles, LA 70607-2156

Fax (337) 475-3105

Specialties and licenses

TaxonomyCodeLicense
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801X95 (LA)

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

7 other providers at this address

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About NPI 1457789802

Imperial Calcasieu Human Services Authority's National Provider Identifier is 1457789802, issued on Oct 23, 2013. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Lake Charles, LA. The record was last updated on Oct 23, 2013.