NPI | 1487949657 |
---|---|
Entity Type | Organization |
Authorized Contact | DARRYL WAYNE PETERSON Physician 225-454-6000 |
Organization Subpart ? | No |
Primary Taxonomy | 284300000X Special Hospital (Licence: LA 012182R) |
Enumeration Date | 2011-06-15 |
Last Update Date | 2011-06-15 |