# CHRISTIAN ACRES YOUTH CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083986210
- **Authorized official:** MRS. JANET L MOORE (ADMINISTRATOR)
- **Authorized official phone:** (318) 574-3146

## Contact information

- **Practice address:** 200 BAILEY ST, TALLULAH, LA 71282-2820
- **Practice address phone:** (318) 574-3146
- **Practice address fax:** (318) 574-4093
- **Mailing address:** 200 BAILEY ST, TALLULAH, LA 71282-2820
- **Mailing address phone:** (318) 574-3146
- **Mailing address fax:** (318) 574-4093

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 9950 | LA | Yes |

## Other

- **Enumeration date:** 02/03/2012
- **Last updated:** 02/03/2012