Whalio Doctors

NPI 1508671116

Northeast Delta Human Services Authority

Organisation Substance Abuse Rehabilitation Facility Monroe, LA

Practice location

Address
4781 S Grand St, Monroe, LA 71202-6403
Phone
(318) 362-3270
Fax
(318) 362-5051

Authorised official

Name
Octavia Green
Title
Administrative Program Manager 2
Phone
(318) 362-3270

Registered specialties

Substance Abuse Rehabilitation Facility Primary
Residential Treatment Facilities Taxonomy 324500000X

Registry record

NPI
1508671116
Entity type
Organization
NPI issued
11 Feb 2025
Record last updated
11 Feb 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.