| NPI | 1265784094 |
|---|---|
| Doing Business As | THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION GERI PSYC |
| Entity Type | Organization |
| Authorized Contact | STEVE GAUBERT Agent 985-493-4721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry |
| Enumeration Date | 2012-10-03 |
| Last Update Date | 2016-12-07 |