Northeast Delta Human Services Authority

NPI #1639511256 in Bastrop, Louisiana

Provider Information

NPI Number
1639511256
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 - Mental Health (Including Community Mental Health Center)
Enumeration Date
Jul 24, 2013
Last Updated
Oct 6, 2023

Practice Location

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

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Mental Health (Including Community Mental Health Center)Mental Health (Including Community Mental Health Center)

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