| NPI | 1669618658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID DESHOTELS President 225-757-1084 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 293D00000X Physiological Laboratory |
| Enumeration Date | 2008-12-23 |
| Last Update Date | 2008-12-23 |