| NPI | 1952449118 |
|---|---|
| Doing Business As | IMCAL BH LAKE CHARLES |
| Doing Business As | IMPERIAL CALCASIEU HSA BEHAVIORAL HEALTH LAKE CHARLES |
| 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) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: LA 95) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2024-09-19 |