| NPI | 1154403350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARNOLD E FELDMAN Chief Executive Officer 225-201-0950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MS 25C0001013) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2020-08-22 |