| NPI | 1760644751 |
|---|---|
| Doing Business As | JBH SULPHUR CENTER |
| Entity Type | Organization |
| Authorized Contact | STACY GAUDET Billing Mgr 337-527-7878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: LA AP 05359) |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2008-06-30 |