| NPI | 1427325364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH L ODINET Owner 337-234-8648 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: LA 177) |
| Enumeration Date | 2011-11-21 |
| Last Update Date | 2011-11-21 |