Whalio Doctors

NPI 1528564358

New Life Behavioral and Youth Development LLC

Organisation Substance Abuse Rehabilitation Facility Monroe, LA

Practice location

Address
201 Morris Ave, Monroe, LA 71202-2067
Phone
(318) 816-5514
Fax
(318) 816-5514

Authorised official

Name
Mark Anthony Eleam
Title
Owner
Phone
(318) 600-3962

Registered specialties (3)

Substance Abuse Rehabilitation Facility Primary
Residential Treatment Facilities Taxonomy 324500000X
Community/Behavioral Health Agency
Agencies Taxonomy 251S00000X
Community/Behavioral Health Agency
Agencies Taxonomy 251S00000X Licence BH0012306 (LA)

Registry record

NPI
1528564358
Entity type
Organization
NPI issued
2 Apr 2018
Record last updated
23 Aug 2021

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.