| NPI | 1699940148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS SCHMIDT Chief Executive Officer 225-201-2180 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2008-04-25 |