| NPI | 1073505616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD L ARCENEAUX Manager 985-447-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: LA 107) |
| Enumeration Date | 2005-08-19 |
| Last Update Date | 2022-11-22 |