NPI | 1184806028 |
---|---|
Entity Type | Organization |
Authorized Contact | PEGGY C. SAXON Administrator 985-234-9700 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: pending) |
Enumeration Date | 2007-12-03 |
Last Update Date | 2008-02-19 |