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Organization
DELTA BEHAVIORAL HEALTH SERVICES
Active
Organization
DELTA BEHAVIORAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY BROCK (DIRECTOR OF REVENUE)
(318) 281-2448
Entity
Organization
Contact information
Practice address
4673 EUGENE WARE BLVD, BASTROP, LA 71220-1425
(318) 281-2448
(866) 819-6912
Mailing address
414 PINE ST, MONROE, LA 71201-6228
(318) 281-2448
(866) 819-6912
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
NULL
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
Other
Enumeration date
05/10/2023
Last updated
05/10/2023
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