| NPI | 1396184883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN MARIE SWANSON TAHERI Director/Manager 225-308-1735 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: LA 00912662) |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2013-06-19 |