| NPI | 1568991255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIKKI CHAUVIN VP 985-542-6007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1800X Clinic/Center, Corporate Health (Licence: LA 19D1014531) |
| Enumeration Date | 2017-06-07 |
| Last Update Date | 2022-07-21 |