| NPI | 1356471601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES NEAL DOMINGUE President 337-269-5840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0600X Psychiatry & Neurology Clinical Neurophysiology (Licence: LA 012702) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2013-10-30 |