Christian Acres Youth Center

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

9950 Issued in LA

Legal business name

CHRISTIAN ACRES YOUTH CENTER

Practice address

200 Bailey St
Tallulah, LA 71282-2820

Phone

(318) 574-3146

Fax

(318) 574-4093

NPI assigned

Feb 3, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Janet L Moore

Title

Administrator

Phone

(318) 574-3146

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1328227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328227200000",
    "number": "1083986210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BAILEY ST",
            "city": "TALLULAH",
            "state": "LA",
            "postal_code": "712822820",
            "telephone_number": "318-574-3146",
            "fax_number": "318-574-4093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BAILEY ST",
            "city": "TALLULAH",
            "state": "LA",
            "postal_code": "712822820",
            "telephone_number": "318-574-3146",
            "fax_number": "318-574-4093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN ACRES YOUTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-03",
        "last_updated": "2012-02-03",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "318-574-3146",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "LA",
            "license": "9950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• CDF Healthcare of la, LLC (Twin Oaks Community Home)
• CDF Healthcare of la, LLC (Richmond Group Home)
• CDF Healthcare of la, LLC (Darrow Street Community Home)
• Mable Riggs Chandler
• Dawan Chase
• Shastity Claiborne
• Dubachanette Clark
• Karrah Clark, APRN
• Ashley Clay
• Timmy Lowell Cochran, COTA/L

• Emotionally Disturbed Childrens' Residential Treatment Facility in Tallulah, LA
• Providers in Tallulah, LA by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.