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Organization

NORTHEAST DELTA HUMAN SERVICES AUTHORITY

Active
Parent organization
NORTHEAST DELTA HUMAN SERVICES AUTHORITY
Other names
Ruston Behavioral Health Clinic-Medical
Organization subpart
Yes

Provider details

NPI number
Legal business name
NORTHEAST DELTA HUMAN SERVICES AUTHORITY
Authorized official
OCTAVIA GREEN (ADMINISTRATIVE PROGRAM SPECIALIST B)
(318) 362-3270
Entity
Organization

Contact information

Practice address
901 WHITE ST, RUSTON, LA 71270-5960
(318) 251-4125
(318) 251-5000
Mailing address
901 WHITE ST, RUSTON, LA 71270-5960
(318) 251-4125
(318) 251-5000

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
363LF0000X
Family Nurse Practitioner

Other

Enumeration date
02/09/2022
Last updated
09/27/2023
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