| NPI | 1215161922 |
|---|---|
| Doing Business As | MMG/MOSS CAMPUS |
| Entity Type | Organization |
| Authorized Contact | DAWN JOHNSON-HATCHER CFO 337-494-2094 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease |
| 2084A0401X Psychiatry & Neurology, Addiction Medicine | |
| Enumeration Date | 2009-05-08 |
| Last Update Date | 2023-12-04 |