| NPI | 1699857417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES NEAL DOMINGUE Registered Agent 337-269-5840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2011-03-23 |