Broken Wings Recovery Center, LLC

NPI #1952935983 in Bastrop, Louisiana

Provider Information

NPI Number: 1952935983
Entity Type: Organization
Organization Name: Broken Wings Recovery Center, LLC
Primary Specialty: Substance Abuse Rehabilitation Facility
Enumeration Date: Feb 28, 2020
Last Updated: Feb 28, 2020

Practice Location

Address: 2869 NEW MONROE ROAD
City: Bastrop
State: Louisiana
ZIP Code: 71220
Phone: (318) 538-0500

Authorized Official

Name: BECKY PARKS
Title: ADMINISTRATOR
Phone: (318) 538-0500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Substance Abuse Rehabilitation Facility	324500000X	Primary

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