# SAINT NICHOLAS CENTER FOR EARLY INTERVENTION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245592187
- **Authorized official:** CHRISTY JONES (EXECUTIVE)
- **Authorized official phone:** (337) 491-0800

## Contact information

- **Practice address:** 314 BROAD ST, LAKE CHARLES, LA 70601-4224
- **Practice address phone:** (337) 491-0800
- **Mailing address:** 314 BROAD ST, LAKE CHARLES, LA 70601-4224

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 08014F | LA | Yes |

## Other

- **Enumeration date:** 06/15/2012
- **Last updated:** 06/15/2012