NORTHEAST DELTA HUMAN SERVICES AUTHORITY

BASTROP, LA
NPI1225782196
Doing Business AsBASTROP INTEGRATED CARE CLINIC
Entity TypeOrganization
Authorized ContactOCTAVIA GREEN
Administrative Program Specialist B
318-362-3270
Organization Subpart ?Yes
Primary Taxonomy261QP2300X Clinic/Center, Primary Care
Additional Taxonomies363LF0000X Nurse Practitioner, Family
Enumeration Date2022-02-09
Last Update Date2023-08-30
Business Address
NORTHEAST DELTA HUMAN SERVICES AUTHORITY
450 E PINE STREET
BASTROP, LA 71220-3840
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