NPI 1609566967
Delta Behavioral Health Services
Practice location
- Address
- 4673 Eugene Ware Blvd, Bastrop, LA 71220-1425
- Phone
- (318) 281-2448
- Fax
- (866) 819-6912
- Mailing address
- 414 Pine St, Monroe, LA 71201-6228
Authorised official
- Name
- Ashley Brock
- Title
- Director of Revenue
- Phone
- (318) 281-2448
Registered specialties (2)
Family Medicine Physician
Primary
Child & Adolescent Psychiatry Physician
Registry record
- NPI
- 1609566967
- Entity type
- Organization
- NPI issued
- 10 May 2023
- Record last updated
- 10 May 2023
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.