| NPI | 1588610554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENDALL ERROND WILLIAMS President/Program Director 337-886-1617 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: LA AD601) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2020-08-22 |