Organization
NEW LIFE BEHAVIORAL AND YOUTH DEVELOPMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK ANTHONY ELEAM (OWNER)
(318) 600-3962
Entity
Organization
Contact information
Practice address
201 MORRIS AVE, MONROE, LA 71202-2067
(318) 816-5514
(318) 816-5514
Mailing address
201 MORRIS AVE, MONROE, LA 71202-2067
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
BH0012306
LA
251S00000X
Community/Behavioral Health Agency
—
LA
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
04/02/2018
Last updated
08/23/2021
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