| NPI | 1063849537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALVA WILLIAMS CEO 225-364-1886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry |
| 261Q00000X | |
| 302R00000X Health Maintenance Organization | |
| Enumeration Date | 2013-09-30 |
| Last Update Date | 2016-02-05 |