Northeast Delta Human Services Authority

NPI #1689016487 in Tallulah, Louisiana

Provider Information

NPI Number: 1689016487
Entity Type: Organization
Organization Name: Northeast Delta Human Services Authority
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Jul 22, 2013
Last Updated: Oct 6, 2023

Practice Location

Address: 1012 JOHNSON ST
City: Tallulah
State: Louisiana
ZIP Code: 71282-5216
Phone: (318) 574-1713

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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