| Organization Name: | DEPARTMENT OF HEALTH AND HOSPITALS |
| NPI Number: | 1174589022 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PHYLLIS JERRI PARKS (OAD/REGIONAL ADMINISTRATOR) |
| Mailing Address: | 320 S Franklin St Bastrop |
| State: | LA US |
| Postal Code: | 712204539 |
| Phone Number: | 3182830868 |
| Fax Number: | 3182830875 |
| NPI Enumeration Date: | 04/20/2006 |
| NPI Last Update Date: | 08/25/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | RAC1081 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | LA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |