NORTHEAST DELTA HUMAN SERVICES AUTHORITY is a primary care clinic center in Monroe, LA. NORTHEAST DELTA HUMAN SERVICES AUTHORITY NPI is 1124772009. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Monroe Behavioral Health Clinic-medical.
The provider's business location address is:
4800 S GRAND ST
MONROE, LA
ZIP 71202-412
Phone: (318) 362-3339
Fax: (318) 362-3336
The provider's authorized official is Octavia Green .
The authorized official title is Administrative Program Specialist B and has the following contact phone number (318) 362-3270.
The CLIA number assigned to this NPI record is 19D1074431 - other with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 2/9/2022 and was last updated on 8/30/2023.