| NPI | 1275975856 |
|---|---|
| Other Name | SUPPLEMENTARY BEHAVIORAL SERVICES |
| Entity Type | Organization |
| Authorized Contact | DAVID N. CRAMER Owner 504-288-2607 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: LA 2252) |
| Enumeration Date | 2013-07-23 |
| Last Update Date | 2013-07-23 |