NPI 1578822177

Boys and Girls Villages Foundation

Organisation Mental Illness Community Based Residential Treatment Facility Lake Charles, LA

Practice location

Address: 7378 Highway 90 E, Lake Charles, LA 70615-4803
Phone: (337) 436-7553
Fax: (337) 436-8291

Authorised official

Name: Mayance Joseph Mathieu,
Title: Executive Director
Phone: (337) 436-7553

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X Licence 8998 (LA)

Other Community Based Residential Treatment Facility, Mental Illness providers in Louisiana →

Registry record

NPI: 1578822177
Entity type: Organization
NPI issued: 16 May 2012
Record last updated: 16 May 2012

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.