| Crg Clinical Services Llc | |
|
400 E Kaliste Saloom Rd Ste 3200 Lafayette LA 70508-8507 | |
| (337) 277-9055 | |
| Not Available |
| Full Name | Crg Clinical Services Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 400 E Kaliste Saloom Rd Ste 3200, Lafayette, Louisiana |
| Authorized Official Name and Position | Rebekah D Daugereaux (OWNER) |
| Authorized Official Contact | 3372779055 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crg Clinical Services Llc 400 E Kaliste Saloom Rd Ste 3200 Lafayette LA 70508-8507 Ph: () - | Crg Clinical Services Llc 400 E Kaliste Saloom Rd Ste 3200 Lafayette LA 70508-8507 Ph: (337) 277-9055 |
| NPI Number | 1649199159 |
|---|---|
| Provider Enumeration Date | 07/10/2026 |
| Last Update Date | 07/10/2026 |
| Certification Date | 07/10/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649199159 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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