NPI | 1174926315 |
---|---|
Entity Type | Organization |
Authorized Contact | ANNA CHRISTINE DAVIS President 985-951-7882 |
Organization Subpart ? | No |
Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: LA 013663) |
Enumeration Date | 2014-10-02 |
Last Update Date | 2014-10-02 |