Organization
CHRISTIAN ACRES YOUTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANET L MOORE (ADMINISTRATOR)
(318) 574-3146
Entity
Organization
Contact information
Practice address
200 BAILEY ST, TALLULAH, LA 71282-2820
(318) 574-3146
(318) 574-4093
Mailing address
200 BAILEY ST, TALLULAH, LA 71282-2820
(318) 574-3146
(318) 574-4093
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
9950
LA
Other
Enumeration date
02/03/2012
Last updated
02/03/2012
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