NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1528564358 |   |   |   | NEW LIFE BEHAVIORAL AND YOUTH DEVELOPMENT LLC | 201 MORRIS AVE | MONROE | LA | 712022067 |
1902443641 | ELLIOTT | TANESHA | PATRICE |   | 31 LESLIE LN | MONROE | LA | 712032784 |