Organization
APPLEGATE RECOVERY LAKE CHARLES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN WOODWARD (PROGRAM DIRECTOR)
(337) 540-7184
Entity
Organization
Contact information
Practice address
617 W PRIEN LAKE RD, STE: L, LAKE CHARLES, LA 70601-8386
(337) 540-7184
Mailing address
617 W PRIEN LAKE RD, STE: L, LAKE CHARLES, LA 70601-8386
(337) 540-7184
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
11/08/2010
Last updated
11/08/2010
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