Organization
JC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTINA HARRELL (MANAGER)
(337) 912-9577
Entity
Organization
Contact information
Practice address
2516 RILEY ST, SULPHUR, LA 70665-7550
(337) 912-9577
Mailing address
4900 MAPLEWOOD DR, SULPHUR, LA 70663-6528
(337) 912-9577
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/04/2020
Last updated
04/04/2020
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