NPI | 1083832935 |
---|---|
Entity Type | Organization |
Authorized Contact | KATHY C. PAYNE CEO 504-444-4131 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: LA 7178) |
Enumeration Date | 2007-04-23 |
Last Update Date | 2008-05-01 |