| NPI | 1225228547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHYLLIS L PEOPLES President And Board Chair 985-873-3520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2023-07-21 |