Organization
DELTA COMMUNITY ACTION ASSOCIATION INC
Active
Other names
Delta Recovery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARL SMITH (EXECUTIVE DIRECTOR)
(318) 574-2130
Entity
Organization
Contact information
Practice address
404 E CRAIG ST, TALLULAH, LA 71282-3718
(318) 574-4164
(318) 574-4164
Mailing address
404 E CRAIG ST, TALLULAH, LA 71282-3718
(318) 574-4164
(318) 574-4164
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
179
LA
251S00000X
Community/Behavioral Health Agency
179A
LA
251S00000X
Community/Behavioral Health Agency
179B
LA
Other
Enumeration date
07/23/2012
Last updated
07/23/2012
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