Organization
NEW CONCEPT DEVELOPMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY WESTON (PROGRAM MGR)
(318) 517-7541
Entity
Organization
Contact information
Practice address
15365 HWY 80, MINDEN, LA 71055
(318) 377-4549
Mailing address
15365 HIGHWAY 80, MINDEN, LA 71055-6367
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2203783449
LA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
2203783449
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2203783449
—
LA
05
—
BH0012028
—
LA
Enumeration date
08/18/2017
Last updated
01/04/2018
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