| NPI | 1114279585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEMAR FRANKLIN MARSHALL Chief Operations Officer 985-542-0663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: LA 001293) |
| Enumeration Date | 2012-10-10 |
| Last Update Date | 2012-10-10 |