| NPI | 1396024303 |
|---|---|
| Doing Business As | LAKE CHARLES BEHAVIORAL HEALTH CLINIC |
| Entity Type | Organization |
| Authorized Contact | LORETTA TUTSON COTLONE Lpn 337-475-4930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care (Licence: LA 870077) |
| Enumeration Date | 2011-08-08 |
| Last Update Date | 2011-08-08 |