| NPI | 1023326279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUBY AMAKU IBEKWE Medical Director 225-381-6478 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: LA L10582R) |
| Enumeration Date | 2010-09-22 |
| Last Update Date | 2010-09-22 |