| NPI | 1215073424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRAD JOHNSON Director Of Business Operations 318-683-4600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2008-10-15 |