NORTHEAST DELTA HUMAN SERVICES AUTHORITY

BASTROP, LA
NPI1225782196
Entity TypeOrganization
Authorized ContactOCTAVIA GREEN
Administrative Program Manager
318-362-3270
Organization Subpart ?Yes
Primary Taxonomy261QP2300X Clinic/Center Primary Care
Additional Taxonomies363LF0000X Nurse Practitioner Family
Enumeration Date2022-02-09
Last Update Date2025-06-04
Business Address
NORTHEAST DELTA HUMAN SERVICES AUTHORITY
451 E MADISON AVE
BASTROP, LA 71220-3829
Phone number: 318-283-0868
Mailing Address
NORTHEAST DELTA HUMAN SERVICES AUTHORITY
450 E PINE STREET
BASTROP, LA 71220-3840
Phone number: 318-283-0868
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