| NPI | 1437522034 |
|---|---|
| Doing Business As | IMCAL BH JEFFERSON DAVIS |
| Doing Business As | IMPERIAL CALCASIEU HSA BEHAVIORAL HEALTH JEFFERSON DAVIS |
| Entity Type | Organization |
| Authorized Contact | NIKYIA BROWN Credentialing Spec. 337-475-3100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: LA 95-C) |
| Enumeration Date | 2015-11-04 |
| Last Update Date | 2024-09-19 |