| NPI | 1114201399 |
|---|---|
| Doing Business As | ST ELIZABETH PHYSICIANS DSME PROGRAM |
| Entity Type | Organization |
| Authorized Contact | JOHN FREDERICK FRAICHE President 225-647-8511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174H00000X Health Educator |
| Enumeration Date | 2011-10-05 |
| Last Update Date | 2011-10-05 |