| NPI | 1962636597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELSIE M COLIN President/CEO 225-247-6483 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: LA MD.15662R) |
| Enumeration Date | 2009-05-11 |
| Last Update Date | 2009-10-13 |