| Organization Name: | DEPARTMENT OF HEALTH AND HOSPITALS |
| NPI Number: | 1598802233 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KAY ASHLEY (MANAGER) |
| Mailing Address: | 1012 Johnson St Tallulah |
| State: | LA US |
| Postal Code: | 712825216 |
| Phone Number: | 3185741713 |
| Fax Number: | 3185742299 |
| NPI Enumeration Date: | 01/31/2007 |
| NPI Last Update Date: | 07/24/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM0801X |
| License Number: | 90 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
| Taxonomy Definition: | |