| 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 |