| NPI | 1750507281 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH JOSEPH COCHRAN President CEO 337-948-3011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: LA 125) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2023-04-17 |