| NPI | 1790007821 |
|---|---|
| Doing Business As | FAMILY NEW LIFE BASTROP |
| Entity Type | Organization |
| Authorized Contact | ADRIAN WILLIAMS Director 318-325-8050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2010-02-16 |
| Last Update Date | 2010-02-16 |