Organization
NORTHEAST LOUISIANA SUBSTANCE ABUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIERRA TALBERT CAC (COUNSELOR)
(318) 435-7558
Entity
Organization
Contact information
Practice address
305 E MAIN ST, OAK GROVE, LA 71263-2541
(318) 428-9202
(318) 428-9279
Mailing address
305 E MAIN ST, PO BOX 1208, OAK GROVE, LA 71263-2541
(318) 428-9202
(318) 428-9279
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
LA
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
05/01/2012
Last updated
10/25/2023
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