NPI | 1235379611 |
---|---|
Entity Type | Organization |
Authorized Contact | ANTHONY LADD ALLAIN President 337-217-0207 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: LA 1046) |
Enumeration Date | 2009-02-25 |
Last Update Date | 2009-02-25 |