Delta Life Therapeutic Solutions Pllc
NPI #1124616354 in Itta Bena, Mississippi
Provider Information
- NPI Number
- 1124616354
- Entity Type
- Organization
- Organization Name
- Delta Life Therapeutic Solutions Pllc
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Jan 4, 2021
- Last Updated
- Jan 4, 2021
Practice Location
- Address
- 705 1/2 CLEVELAND ST
- City
- Itta Bena
- State
- Mississippi
- ZIP Code
- 38941
- Phone
- (662) 458-0408
Authorized Official
- Name
- EMELJA QUINN
- Title
- CEO
- Phone
- (662) 458-0408
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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