| NPI | 1043504400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAZEL M KNIGHTEN Executive Director Of Operation 225-355-0201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2011-06-02 |
| Last Update Date | 2011-06-02 |