NPI | 1134640196 |
---|---|
Entity Type | Organization |
Authorized Contact | NAKIA MICHELE CHILTON Staff 225-571-3185 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
Enumeration Date | 2017-06-29 |
Last Update Date | 2017-06-29 |