# LUTHERAN SOCIAL SERVICES OF THE SOUTH, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LUTHERAN SOCIAL SERVICES OF THE SOUTH, INC.
- **Other names:** New Life Children's Treatment Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1538203484
- **Legal business name:** LUTHERAN SOCIAL SERVICES OF THE SOUTH, INC.
- **Authorized official:** MS. KRYSTALE BEZIO MSW, LCPAA (CHIEF PROGRAM OFFICER)
- **Authorized official phone:** (512) 459-1000

## Contact information

- **Practice address:** 650 SCARBOUROUGH, CANYON LAKE, TX 78133-4529
- **Practice address phone:** (830) 964-4390
- **Practice address fax:** (830) 964-4391
- **Mailing address:** 8305 CROSS PARK DR, AUSTIN, TX 78754-5154
- **Mailing address phone:** (512) 459-1000
- **Mailing address fax:** (512) 452-6885

## Taxonomy

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

## Other

- **Enumeration date:** 02/16/2007
- **Last updated:** 07/26/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 145547902 | — | TX |