| NPI | 1831071547 |
|---|---|
| Doing Business As | A FIRST NAME BASIS |
| Entity Type | Organization |
| Authorized Contact | JAMARY HARDING Billing/Payroll Manager 337-735-4966 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-07-23 |
| Last Update Date | 2025-07-23 |