| NPI | 1336399062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAN WILLIAM JOACHIM Medical Director 985-845-4595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0600X Psychiatry & Neurology Clinical Neurophysiology |
| Enumeration Date | 2008-09-30 |
| Last Update Date | 2008-09-30 |