Organization
BROKEN WINGS RECOVERY CENTER, LLC
Active
Other names
Broken Wings Recovery Center
Organization subpart
No
Provider details
NPI number
Authorized official
BECKY PARKS (ADMINISTRATOR)
(318) 538-0500
Entity
Organization
Contact information
Practice address
2869 NEW MONROE ROAD, BASTROP, LA 71220
(318) 538-0500
(318) 538-0506
Mailing address
2869 NEW MONROE ROAD, BASTROP, LA 71220
(318) 538-0500
(318) 538-0506
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
02/28/2020
Last updated
02/28/2020
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