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Organization

IMPERIAL CALCASIEU HUMAN SERVICES AUTHORITY

Active
Other names
ImCal BH Jefferson Davis, Imperial Calcasieu HSA Behavioral Health Jefferson Davis
Organization subpart
No

Provider details

NPI number
Authorized official
NIKYIA BROWN (CREDENTIALING SPEC.)
(337) 475-3100
Entity
Organization

Contact information

Practice address
437 N MARKET ST, JENNINGS, LA 70546-5857
(337) 246-7325
(337) 246-7328
Mailing address
4105 KIRKMAN ST, LAKE CHARLES, LA 70607-4603
(337) 475-3100
(337) 475-3105

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
95-C
LA

Other

Enumeration date
11/04/2015
Last updated
12/12/2025
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