| Journey Outreach, Llc | |
|
504 Julius St Lake Charles LA 70605-2732 | |
| (337) 496-4941 | |
| Not Available |
| Full Name | Journey Outreach, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 504 Julius St, Lake Charles, Louisiana |
| Authorized Official Name and Position | Paula Kline (SOLE PROPRIETOR) |
| Authorized Official Contact | 3374964941 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Journey Outreach, Llc 504 Julius St Lake Charles LA 70605-2732 Ph: (337) 496-4941 | Journey Outreach, Llc 504 Julius St Lake Charles LA 70605-2732 Ph: (337) 496-4941 |
| NPI Number | 1477845923 |
|---|---|
| Provider Enumeration Date | 05/03/2011 |
| Last Update Date | 07/12/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477845923 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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