| NPI | 1578626537 |
|---|---|
| Doing Business As | FAMILY NEW LIFE |
| Entity Type | Organization |
| Authorized Contact | ADRIAN WILLIAMS Program Director 318-325-8050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: LA 10067) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2023-06-23 |