| NPI | 1164533030 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN CRAIG MARLER Doctor 318-795-9100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: LA 08493R) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2012-03-13 |