| NPI | 1548494578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN ROUSSEAU President 318-621-9600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: LA 06203R) |
| Enumeration Date | 2009-05-05 |
| Last Update Date | 2009-08-21 |