| NPI | 1194091710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | C J POLLET Owner 985-626-8744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: LA 986-117T) |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2013-06-06 |