Columbia Developmental Center
Organization Active NPI Community/Behavioral Health Agency · Columbia, LA
NPI 1124248042 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1124248042
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- License
- 2311 (LA)
- Legal business name
- COLUMBIA DEVELOPMENTAL CENTER
- Practice address
- 132 Highway 850
Columbia, LA 71418-1559 - Phone
- (318) 649-6097
- Fax
- (318) 649-2868
- NPI assigned
- Apr 26, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Michael Anthony Harrell
- Title
- Regional Associate Administrator
- Phone
- (318) 649-6097
Corporate family (same tax ID) 9
National Provider Directory
- Tax ID family
- Columbia Developmental Center
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 2311 | LA | Yes |
Addresses
Primary practice location
132 Highway 850
Columbia, LA 71418-1559
Mailing address
132 Highway 850
Columbia, LA 71418-1559
Phone (318) 649-6097
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1165077 | Medicaid | LA |
Other names
- Supported Employment Provider
Other providers in Columbia, LA
- Janet W Carr
- Eldredge Linus Carroll (Jr.)
- Chase Collier Cassels
- Columbia Developmental Center
- Columbia Developmental Center
- Columbia Developmental Center
- Columbia Developmental Center
- Columbia Developmental Center
- Columbia Developmental Center
- Columbia Developmental Center
All providers in Columbia, LA · Community/Behavioral Health Agency in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.