| NPI | 1538352703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC ROLAND ARDOIN Owner/Managing Partner 985-876-6980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: LA 1544-575T) |
| Enumeration Date | 2007-08-21 |
| Last Update Date | 2007-08-21 |