Organization
LUTHERAN SOCIAL SERVICES OF THE SOUTH, INC.
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
Legal business name
LUTHERAN SOCIAL SERVICES OF THE SOUTH, INC.
Authorized official
MS. KRYSTALE BEZIO MSW, LCPAA (CHIEF PROGRAM OFFICER)
(512) 459-1000
Entity
Organization
Contact information
Practice address
650 SCARBOUROUGH, CANYON LAKE, TX 78133-4529
(830) 964-4390
(830) 964-4391
Mailing address
8305 CROSS PARK DR, AUSTIN, TX 78754-5154
(512) 459-1000
(512) 452-6885
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145547902
—
TX
Enumeration date
02/16/2007
Last updated
07/26/2021
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