Organization
FAMILY NEW LIFE BASTROP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADRIAN WILLIAMS (ADMINISTRATOR)
(318) 325-8050
Entity
Organization
Contact information
Practice address
1705 WASHINGTON ST, MONROE, LA 71201-7046
(318) 325-8050
Mailing address
1705 WASHINGTON ST, MONROE, LA 71201-7046
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/03/2016
Last updated
02/03/2016
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