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1386237881
FOSTERING LIFE YOUTH RANCH, LLC
LEVELLAND, TX
NPI
1386237881
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Entity Type
Organization
Authorized Contact
RONALD M FOSTER
President
575-703-1919
Organization Subpart ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2021-02-16
Last Update Date
2021-02-16
Business Address
FOSTERING LIFE YOUTH RANCH, LLC
1515 5TH ST
LEVELLAND, TX 79336-3311
Phone number: 575-703-1919
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Mailing Address
FOSTERING LIFE YOUTH RANCH, LLC
5109 82ND ST STE 7-1203
LUBBOCK, TX 79424-3028
Phone number: 575-703-1919
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