| NPI | 1578272076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAD CARRONE Clinical Director 985-788-7676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services |
| Enumeration Date | 2022-11-23 |
| Last Update Date | 2022-11-23 |