Organization
DISNEY & ASSOCIATES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN LYNNE ELFERT (BUSINESS MANAGER)
(337) 431-7194
Entity
Organization
Contact information
Practice address
133 JEFFERSON DR, LAKE CHARLES, LA 70605-5713
(337) 431-7194
(279) 205-3136
Mailing address
133 JEFFERSON DR, LAKE CHARLES, LA 70605-5713
(337) 431-7194
(279) 205-3136
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
2203783669
LA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1649929
—
LA
Enumeration date
01/23/2007
Last updated
09/27/2024
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