Whalio Doctors

NPI 1285286476

Odyssey House Louisiana, INC

Organisation Substance Abuse Rehabilitation Facility Lake Charles, LA

Practice location

Address
4012 Avenue H, Lake Charles, LA 70615-5186
Phone
(337) 433-3786
Fax
(504) 267-8571
Mailing address
1125 N Tonti St, New Orleans, LA 70119-3598

Authorised official

Name
Amberzette K Mulkey
Title
Executive Assistant
Phone
(504) 220-8058

Registered specialties

Substance Abuse Rehabilitation Facility Primary
Residential Treatment Facilities Taxonomy 324500000X

Registry record

NPI
1285286476
Entity type
Organization
NPI issued
9 Jul 2019
Record last updated
9 Jul 2019

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.