| NPI | 1831167329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES J MONIER President 985-446-1958 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: LA 0112) |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2014-09-17 |