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 |