NPI | 1679978761 |
---|---|
Doing Business As | SERENITY CLINIC OF LA |
Entity Type | Organization |
Authorized Contact | MARY L TALBERT Credentialling Specialist 337-855-9023 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: LA 2203782149) |
Enumeration Date | 2014-10-31 |
Last Update Date | 2014-11-06 |