| 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 |