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Organization

LIFE JOURNEY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LASHUN BERRY (ADMINISTRATOR)
(318) 436-9717
Entity
Organization

Contact information

Practice address
604 W NEVADA AVE, VIVIAN, LA 71082-3040
(318) 436-9717
Mailing address
604 W NEVADA AVE, VIVIAN, LA 71082-3040
(318) 436-9717

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
02/04/2015
Last updated
02/04/2015
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