| Family New Life Bastrop Llc | |
|
200 Mccreight St Bastrop LA 71220-3955 | |
| (318) 556-4081 | |
| Not Available |
| Full Name | Family New Life Bastrop Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 200 Mccreight St, Bastrop, Louisiana |
| Authorized Official Name and Position | Adrian Williams (ADMINISTRATOR) |
| Authorized Official Contact | 3183258050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family New Life Bastrop Llc 1705 Washington St Monroe LA 71201-7046 Ph: () - | Family New Life Bastrop Llc 200 Mccreight St Bastrop LA 71220-3955 Ph: (318) 556-4081 |
| NPI Number | 1336471796 |
|---|---|
| Provider Enumeration Date | 02/09/2010 |
| Last Update Date | 02/09/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336471796 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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