Organization
DELTA COMMUNITY ACTION ASSOCIATION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IREE JACKSON LAC (DIRECTOR)
(318) 574-4164
Entity
Organization
Contact information
Practice address
411 SPARROW ST, LAKE PROVIDENCE, LA 71254-3035
(318) 559-3356
(318) 559-2044
Mailing address
411 SPARROW ST, LAKE PROVIDENCE, LA 71254-3035
(318) 559-3356
(318) 559-2044
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
3487
LA
Other
Enumeration date
05/17/2016
Last updated
05/17/2016
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