| NPI | 1780153874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY R JACOBS Clinical Director/Administrator 985-273-3915 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0800X Clinic/Center, Endoscopy |
| Enumeration Date | 2018-11-19 |
| Last Update Date | 2022-01-28 |