| NPI | 1538306154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARITA DAVIS ACKLIN Administrator 225-382-3922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 170100000X Medical Genetics, Ph.D. Medical Genetics |
| Enumeration Date | 2009-01-20 |
| Last Update Date | 2009-01-20 |