Organization
NORTHEAST DELTA HUMAN SERVICES AUTHORITY
Active
Other names
Columbia Behavioral Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
OCTAVIA GREEN (ADMINISTRATIVE PROGRAM SPECIALIST B)
(318) 362-3270
Entity
Organization
Contact information
Practice address
5159 HIGHWAY 4 E, COLUMBIA, LA 71418-3580
(318) 649-2333
(318) 649-0149
Mailing address
5159 HIGHWAY 4 E, COLUMBIA, LA 71418-3580
(318) 649-2333
(318) 649-0149
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
2203782560
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1710695
—
LA
Enumeration date
07/30/2013
Last updated
10/06/2023
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