NPI 1063569648

Instneuropsychadvanced Hc

Organisation Community/Behavioral Health Agency Lake Charles, LA

Practice location

Address: 2829 4th Ave 150, Lake Charles, LA 70601-7887
Phone: (337) 477-7091
Fax: (337) 474-4552

Authorised official

Name: Dewey D Archer
Title: Presidentceo
Phone: (337) 477-7091

Registered specialties

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X Licence ADC6247 (LA)

Other Community/Behavioral Health providers in Louisiana →

Registry record

NPI: 1063569648
Entity type: Organization
NPI issued: 4 Jan 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.