| NPI | 1063713865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEIGH A DE MONREDON Clinic Director 504-220-2194 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: LA AP094186) |
| Enumeration Date | 2010-11-10 |
| Last Update Date | 2010-11-10 |