NPI | 1124521380 |
---|---|
Entity Type | Organization |
Authorized Contact | KATHLEEN JANELLE ROUSH Chief Financial Officer 337-477-0600 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor |
Additional Taxonomies | 111NP0017X Chiropractor Pediatric Chiropractor |
Enumeration Date | 2018-03-14 |
Last Update Date | 2018-03-14 |