| NPI | 1073789921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANCI S SHAW Executive Director 337-948-3194 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: LA 1015784) |
| Enumeration Date | 2008-05-01 |
| Last Update Date | 2008-05-01 |