Graduated: 2024
NPI: 1295572774
Practice Locations (3)
IMPERIAL CALCASIEU HUMAN SERVICES AUTHORITY
106 W PORT, IMCAL HSA BEHAVIORAL HEALTH BEAU
DERIDDER, LA 706344040
3374621641
IMPERIAL CALCASIEU HUMAN SERVICES AUTHORITY
4105 KIRKMAN ST
LAKE CHARLES, LA 706074603
3374758022
IMPERIAL CALCASIEU HUMAN SERVICES AUTHORITY
145 HOSPITAL DR
OAKDALE, LA 714633034
3376393001
Source: CMS National Downloadable File, September 2026.