| NPI | 1285925982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES DAI-TRIEU CAO Kinesiotherapist 318-221-8411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2011-04-28 |
| Last Update Date | 2011-04-28 |