| NPI | 1114035946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUE F NOEL Vice President 337-735-7317 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: LA 166) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2025-01-29 |