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Organization

NORTHEAST DELTA HUMAN SERVICES AUTHORITY

Active
Other names
Monroe Behavioral Health Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
OCTAVIA GREEN (ADMINISTRATIVE PROGRAM SPECIALIST B)
(318) 362-3270
Entity
Organization

Contact information

Practice address
4800 S GRAND ST, MONROE, LA 71202-6412
(318) 362-3339
(318) 362-3336
Mailing address
4800 S GRAND ST, MONROE, LA 71202-6412
(318) 362-3339
(318) 362-3336

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
2203782610
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1710237
LA
Enumeration date
07/22/2013
Last updated
10/06/2023
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