| NPI | 1639369499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD C HEINTZ Single Member 225-270-3455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: LA 019555) |
| Enumeration Date | 2007-07-27 |
| Last Update Date | 2009-08-19 |