Applegate Recovery Lake Charles
NPI #1205137197 in Lake Charles, Louisiana
Provider Information
- NPI Number
- 1205137197
- Entity Type
- Organization
- Organization Name
- Applegate Recovery Lake Charles
- Primary Specialty
- Clinic/Center - Health Service
- Enumeration Date
- Nov 8, 2010
- Last Updated
- Nov 8, 2010
Practice Location
- Address
- 617 W PRIEN LAKE RD
- Address 2
- STE: L
- City
- Lake Charles
- State
- Louisiana
- ZIP Code
- 70601-8386
- Phone
- (337) 540-7184
Authorized Official
- Name
- SUSAN WOODWARD
- Title
- PROGRAM DIRECTOR
- Phone
- (337) 540-7184
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Health Service — Health Service |
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