| 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 |