Organization
DELTA COMMUNITY ACTION ASSOCIATION INC
Active
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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