| NPI | 1730211541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY HAYES Manager 337-984-1610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: LA 015039R) |
| Additional Taxonomies | 174400000X Specialist (Licence: LA 02923R) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2020-08-22 |