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NPI Code Detail

MEDICARE: CENTRAL LA HUMAN SERVICES DISTRICT

MEDICARE: CENTRAL LA HUMAN SERVICES DISTRICT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM1300XMulti-Specialty Clinic/Center
2261QR0405XSubstance Use Disorder Rehabilitation Clinic/Center
3261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1033543756
Entity Type Code : Organization
Provider Name (Legal Business Name) : CENTRAL LA HUMAN SERVICES DISTRICT
Provider Business Mailing Address
First Line : PO BOX 7118
Second Line :
City : ALEXANDRIA
State : LA
Zip : 71306-0118
Country : US
Telephone Number : 318-484-6850
Fax Number : 318-484-6232
Provider Business Practice Location Address
First Line : 5411 COLISEUM BLVD
Second Line :
City : ALEXANDRIA
State : LA
Zip : 71303-3729
Country : US
Telephone Number : 318-484-6850
Fax Number : 318-484-6844
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : REBECCA CRAIG
Credential :
Telephone Number : 318-487-5191
Provider Enumeration Date : 08/29/2013
Last Update Date : 03/02/2021

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Directions to “CENTRAL LA HUMAN SERVICES DISTRICT ” Practice Location

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