Delta Community Enhancement Program
Organization Active NPI Community/Behavioral Health Agency · Lake Providence, LA
NPI 1639612476 · NPPES record last updated Nov 28, 2016
Key facts
- NPI
- 1639612476
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- DELTA COMMUNITY ENHANCEMENT PROGRAM
- Practice address
- 411 Sparrow St
Lake Providence, LA 71254-3035 - Phone
- (318) 559-3356
- Fax
- (318) 559-2044
- NPI assigned
- Nov 28, 2016
- Organization subpart
- No
Authorized official
- Name
- Ms. Elisha Y Lucas, MA, SUBSTANCE ABUSE
- Title
- Director
- Phone
- (318) 559-3356
Practitioners 3
-
Joseph Granville Jackson, CCS, RAC
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
411 Sparrow St
Lake Providence, LA 71254-3035
Mailing address
PO Box 88
Lake Providence, LA 71254-0088
Phone (318) 559-3356
Other names
- Delta Recovery Program
Other providers in Lake Providence, LA
- Mary Catherine Coon
- Carla C Costello
- Lakeisha Moniqe Curley
- Cypress at Lake Providence, LLC
- Delta Community Action Association, Inc.
- Gloria Dixon
- East Carroll Ambulance Service
- East Carroll Parish Hospital
- East Carroll Parish Hospital
- East Carroll Parish Hospital
All providers in Lake Providence, 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 Nov 28, 2016. 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.