| Organization Name: | NORTHEAST DELTA HUMAN SERVICES AUTHORITY |
| NPI Number: | 1033541230 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SHERYL MUWWAKKIL (MANAGER) |
| Mailing Address: | 602 E Georgia Ave Ruston |
| State: | LA US |
| Postal Code: | 712703931 |
| Phone Number: | 3182514125 |
| Fax Number: | 3182515000 |
| NPI Enumeration Date: | 07/30/2013 |
| NPI Last Update Date: | 07/30/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM1300X |
| License Number: | 2203781812 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | LA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Multi-Specialty |
| Taxonomy Definition: | |