| NPI | 1407853716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEWARRENT LEE BRANTLEY CEO/President 318-676-0705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2011-08-18 |