NPI | 1770681728 |
---|---|
Entity Type | Organization |
Authorized Contact | DOUGLAS L. ABADCO President 337-988-2903 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: LA 09390R) |
Enumeration Date | 2006-09-20 |
Last Update Date | 2020-08-22 |