| NPI | 1699088385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRET BERRY President 985-624-2882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0404X Clinic/Center, Rehabilitation, Cardiac Facilities |
| Enumeration Date | 2010-07-22 |
| Last Update Date | 2010-07-22 |