Leesville Developmental Center

NPI #1174742159 in Leesville, Louisiana

Provider Information

NPI Number: 1174742159
Entity Type: Organization
Organization Name: Leesville Developmental Center
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Apr 25, 2007
Last Updated: Jun 18, 2008

Practice Location

Address: 161 SECTION LINE RD
City: Leesville
State: Louisiana
ZIP Code: 71446-5534
Phone: (337) 535-9314

Authorized Official

Name: MR. TOMMY BROOKS
Title: FACILITY SERVICES DIRECTOR
Phone: (337) 239-2687

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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