Organization · Type 2 NPI

Northeast Delta Human Services Authority

Substance Abuse Rehabilitation Facility · Monroe, LA

NPI number 1508671116 Active

Practice location

4781 S Grand St
Monroe, LA 71202-6403

Fax (318) 362-5051

Specialties and licenses

Taxonomy	Code	License
Substance Abuse Rehabilitation Facility Primary	324500000X	None listed

Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

11 other providers at this address

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NPI record

NPI: 1508671116
Entity type: Organization (Type 2)
Issued: Feb 11, 2025
Last updated: Feb 11, 2025
Status: Active
Subpart: Yes of Northeast Delta Human Services Authority

Other names

R.i.s.e (reaching Independence Through Support & Education) · doing business as

Authorized official

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

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About NPI 1508671116

Northeast Delta Human Services Authority's National Provider Identifier is 1508671116, issued on Feb 11, 2025. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Monroe, LA. The record was last updated on Feb 11, 2025.