Northeast Delta Human Services Authority

NPI #1225782196 in Bastrop, Louisiana

Provider Information

NPI Number
1225782196
Entity Type
Organization
Organization Name
Northeast Delta Human Services Authority
Subpart
Yes (part of a larger organization)
Parent Organization
NORTHEAST DELTA HUMAN SERVICES AUTHORITY
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
Feb 9, 2022
Last Updated
Jun 4, 2025

Practice Location

Address
451 E MADISON AVE
ZIP Code
71220-3829
Phone
(318) 283-0868

Authorized Official

Name
OCTAVIA GREEN
Title
ADMINISTRATIVE PROGRAM MANAGER
Phone
(318) 362-3270

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily
Clinic/Center - Primary CarePrimary Care

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