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 |