| NPI | 1952449118 |
|---|---|
| Doing Business As | LAKE CHARLES BEHAVIORAL HEALTH CLINIC |
| Doing Business As | IMCAL BH LAKE CHARLES |
| Doing Business As | IMPERIAL CALCASIEU HSA BEHAVIORAL HEALTH LAKE CHARLES |
| Entity Type | Organization |
| Authorized Contact | ANGELA MICHELE THOMAS Billing Supervisor 337-475-8701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X (Licence: LA 95) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: LA 95) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2022-06-28 |