Organization
JOURNEY OUTREACH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA KLINE PMHNP-BC (SOLE PROPRIETOR)
(337) 496-4941
Entity
Organization
Contact information
Practice address
504 JULIUS ST, LAKE CHARLES, LA 70605-2732
(337) 496-4941
Mailing address
504 JULIUS ST, LAKE CHARLES, LA 70605-2732
(337) 496-4941
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/03/2011
Last updated
07/12/2011
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