Organization
DELTA LIFE THERAPEUTIC SOLUTIONS PLLC
Active
Other names
Delta Life Therapeutic Solutions PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
EMELJA QUINN (CEO)
(662) 458-0408
Entity
Organization
Contact information
Practice address
705 1/2 CLEVELAND ST, ITTA BENA, MS 38941
(662) 458-0408
Mailing address
705 CLEVELAND ST, ITTA BENA, MS 38941-2603
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/04/2021
Last updated
01/04/2021
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