Organization Name: | CENTRAL LA HUMAN SERVICES DISTRICT |
NPI Number: | 1033543756 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | REBECCA I CRAIG (REGIONAL ADMINISTRATOR) |
Mailing Address: | 242 W Shamrock Ave Unit 1 Pineville |
State: | LA US |
Postal Code: | 713606439 |
Phone Number: | 3184846850 |
Fax Number: | 3814846232 |
NPI Enumeration Date: | 08/29/2013 |
NPI Last Update Date: | 06/10/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM1300X |
License Number: | 483 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | LA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Multi-Specialty |
Taxonomy Definition: |