NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1902274525
SEASIDE BEHAVIORAL CENTER, LLC
101 FEU FOLLET DRIVE
LAFAYETTE
LA
70503
1386099877
PRYOR
GEMMALYN
101 FEU FOLLET RD STE 100
LAFAYETTE
LA
705084234
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