Organization
DEPARTMENT OF HEALTH AND HOSPITALS
Active
Other names
Briscoe Detox Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JEMECE MICHELLE RICHARD LAC (INPATIENT MANAGER)
(337) 491-2355
Entity
Organization
Contact information
Practice address
4012 AVENUE H, LAKE CHARLES, LA 70615-5186
(337) 491-2355
(337) 491-2492
Mailing address
4012 AVENUE H, LAKE CHARLES, LA 70615-5186
(337) 491-2355
(337) 491-2492
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
044
LA
Other
Enumeration date
06/07/2006
Last updated
08/22/2020
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