| NPI | 1376716688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERARD P. RABALAIS Chairman 502-852-8600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility |
| Additional Taxonomies | 208000000X Pediatrics |
| 2080A0000X Pediatrics Adolescent Medicine | |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2008-06-17 |