Whalio Doctors

NPI 1083986210

Christian Acres Youth Center

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Tallulah, LA

Practice location

Address
200 Bailey St, Tallulah, LA 71282-2820
Phone
(318) 574-3146
Fax
(318) 574-4093

Authorised official

Name
Janet L Moore
Title
Administrator
Phone
(318) 574-3146

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 322D00000X Licence 9950 (LA)

Registry record

NPI
1083986210
Entity type
Organization
NPI issued
3 Feb 2012
Record last updated
3 Feb 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.