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 |