Family New Life Bastrop LLC

NPI #1336471796 in Bastrop, Louisiana

Provider Information

NPI Number
1336471796
Entity Type
Organization
Organization Name
Family New Life Bastrop LLC
Primary Specialty
Community/Behavioral Health
Enumeration Date
Feb 9, 2010
Last Updated
Feb 9, 2010

Practice Location

Address
200 MCCREIGHT ST
ZIP Code
71220-3955
Phone
(318) 556-4081

Authorized Official

Name
MRS. ADRIAN WILLIAMS
Title
ADMINISTRATOR
Phone
(318) 325-8050

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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