| NPI | 1164095857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN FISCHER Chief Executive Officer 225-214-9669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2021-07-20 |
| Last Update Date | 2021-07-20 |