| NPI | 1891014882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HADEN ALBERT LAFAYE General Manager 985-868-3616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: LA MD.020876) |
| Enumeration Date | 2010-05-31 |
| Last Update Date | 2010-10-14 |