| NPI | 1922178169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONYA RICHARD Assistant Administrator 337-312-8291 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: LA 53) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2017-01-16 |