Organization
MATTHEW 2540 CORPORATION
Active
Organization
MATTHEW 2540 CORPORATION
Active
Other names
Nepenthe House
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY HIGGINBOTHAM BSW, MSSA (EXECUTIVE DIRECTOR)
(337) 439-3061
Entity
Organization
Contact information
Practice address
1414 MARTHA ST, LAKE CHARLES, LA 70601-2440
(337) 439-3061
(337) 439-4279
Mailing address
1414 MARTHA ST, LAKE CHARLES, LA 70601-2440
(337) 439-3061
(337) 439-4279
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
184
LA
Other
Enumeration date
02/24/2012
Last updated
02/24/2012
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