NPI | 1316121916 |
---|---|
Entity Type | Organization |
Authorized Contact | ASHTON SPEARS Billing Agent 225-505-3285 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: LA 12763) |
Enumeration Date | 2007-12-19 |
Last Update Date | 2007-12-19 |