NPI 1528564358
New Life Behavioral and Youth Development LLC
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
Community/Behavioral Health Agency
Community/Behavioral Health Agency
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.