| NPI | 1760210942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA B SAMSON VP Revenue Cycle 225-241-2594 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2024-07-22 |
| Last Update Date | 2024-08-07 |