| NPI | 1003174830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTIN MOSES Clinical Director 985-875-3100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 283X00000X Rehabilitation Hospital (Licence: LA 003) |
| Additional Taxonomies | 261QD1600X Clinic/Center Developmental Disabilities (Licence: LA 003) |
| 261QR0400X Clinic/Center Rehabilitation (Licence: LA 003) | |
| Enumeration Date | 2012-04-30 |
| Last Update Date | 2014-10-02 |