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General NPI Number Information
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NPI Number | 1306761010
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Entity Type | Organization
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Legal Business Name | NEW LIGHT RESIDENTIAL TREATMENT CENTER FOR YOUTH, INC
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Dates
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Enumeration Date | 08/11/2026
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Last Update Date | 08/11/2026
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Provider Practice Location Address
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Address Line | 16727 SONATA CT
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City | HOUSTON
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State | TX
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Zip | 77053-5023
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Country | US
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Telephone | 346-249-2262
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Fax |
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Provider Business Mailing Address
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Address Line | 5900 BALCONES DR STE 100
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City | AUSTIN
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State | TX
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Zip | 78731-4298
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | FOUNDER & EXECUTIVE DIRECTOR
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Name | JARIAH EBANKS
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Credential |
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Telephone | 832-578-1755
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 322D00000X
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Taxonomy Name | Emotionally Disturbed Childrens' Residential Treatment Facility
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License Number |
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License Number State |
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