Organization
CHANGES TO YOUTH AND FAMILY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAWANA WHITE-PERRY (BUSINESS MANAGER)
(318) 606-5335
Entity
Organization
Contact information
Practice address
1331 US HIGHWAY 80 E STE 205, MESQUITE, TX 75150-5780
(318) 734-7614
(318) 606-5671
Mailing address
2810 FREDDIE ST, SHREVEPORT, LA 71107-4216
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/09/2018
Last updated
04/09/2018
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