| NPI | 1336494616 |
|---|---|
| Other Name | DELTA RECOVERY CENTER |
| Entity Type | Organization |
| Authorized Contact | CARL SMITH Executive Director 318-574-2130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: LA 179) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: LA 179A) |
| 251S00000X Community/Behavioral Health (Licence: LA 179B) | |
| Enumeration Date | 2012-07-23 |
| Last Update Date | 2012-07-23 |