| NPI | 1194838052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENDALL JOHNSON C.F.O. 225-237-1645 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine | |
| 208100000X Physical Medicine & Rehabilitation | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2015-12-08 |