| NPI | 1689016487 |
|---|---|
| Doing Business As | TALLULAH BEHAVIORAL HEALTH CLINIC |
| Entity Type | Organization |
| Authorized Contact | OCTAVIA GREEN Adminsitrative Program Specialist B 318-362-3270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: LA 2203782765) |
| Enumeration Date | 2013-07-22 |
| Last Update Date | 2023-10-06 |