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Organization

IMPERIAL CALCASIEU HUMAN SERVICES AUTHORITY

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

Provider details

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

Contact information

Practice address
145 HOSPITAL DR, OAKDALE, LA 71463-3034
(337) 369-3001
(337) 639-3008
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
177
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1710580
LA
Enumeration date
02/01/2007
Last updated
12/12/2025
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