| NPI | 1023443777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDACE LYNN CALLAGHAN Counselor 504-908-6879 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: LA 4431) |
| Enumeration Date | 2013-09-12 |
| Last Update Date | 2013-09-12 |