Organization
STATE OF LA/DHH/OBH
Active
Organization
STATE OF LA/DHH/OBH
Active
Other names
Lake Charles Behavioral Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LORETTA TUTSON COTLONE LPN (LPN)
(337) 475-4930
Entity
Organization
Contact information
Practice address
4105 KIRKMAN ST, LAKE CHARLES, LA 70607-4603
(337) 475-4930
Mailing address
4105 KIRKMAN ST, LAKE CHARLES, LA 70607-4603
(337) 475-4930
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
870077
LA
Other
Enumeration date
08/08/2011
Last updated
08/08/2011
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