| NPI | 1194196535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES ADAM EDWARDS Chief Executive Officer 337-565-0843 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry |
| Enumeration Date | 2015-10-12 |
| Last Update Date | 2016-08-25 |