| NPI | 1942282256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH S VERHEECK Medical Director 337-439-8857 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: LA 42) |
| Enumeration Date | 2005-11-14 |
| Last Update Date | 2010-07-08 |