| NPI | 1740918978 |
|---|---|
| Other Name | AMY L. SANDRIDGE |
| Entity Type | Organization |
| Authorized Contact | AMY LEONA SANDRIDGE Owner 504-259-1898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2022-08-15 |
| Last Update Date | 2022-08-15 |