Chitimacha Tribe Of Louisiana
Clinic/Center in Charenton, LA(View on Map)
Legal Business Name
Chitimacha Tribe Of Louisiana
NPI Number
1154477909
NPI Type
Organization
Enumeration Date
01/26/2007
Specialties
(Taxonomies)Licenses
State
Louisiana
License Number
15134R
Contact
Information
Purpose
Mailing
Location
Address
PO BOX 640
3231 CHITIMACHA TRAIL
City
Charenton
Charenton
State
LA
LA
Postal Code
70523-0640
70523-0661
Country
US
US
Telephone Number
(337) 923-9955
(337) 923-9955
Authorized Official
Name
Ms. Tricia Mora
Title or Position
DIRECTOR HEALTH AND HUMAN SERVICES
Telephone Number
(337) 923-9955
Identifiers
Identifier
1233978
Identifier State
LA
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 06/20/2013