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 |