Delta Community Enhancement Program
NPI #1639612476 in Lake Providence, Louisiana
Provider Information
- NPI Number
- 1639612476
- Entity Type
- Organization
- Organization Name
- Delta Community Enhancement Program
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Nov 28, 2016
- Last Updated
- Nov 28, 2016
Practice Location
- Address
- 411 SPARROW ST
- City
- Lake Providence
- State
- Louisiana
- ZIP Code
- 71254-3035
- Phone
- (318) 559-3356
Authorized Official
- Name
- MS. ELISHA Y LUCAS, MA, SUBSTANCE ABUSE
- Title
- DIRECTOR
- Phone
- (318) 559-3356
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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