NPI | 1902944184 |
---|---|
Doing Business As | IMPERIAL CALCASIEU HSA BEHAVIORAL HEALTH BEAUREGARD |
Doing Business As | BEAUREGARD BEHAVIORAL HELATH CLINIC |
Doing Business As | IMCAL BH BEAUREGARD |
Entity Type | Organization |
Authorized Contact | ANGELA MICHELE THOMAS Billing Supervisor 337-475-8701 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X (Licence: LA 80) |
Enumeration Date | 2007-02-01 |
Last Update Date | 2022-06-28 |