| NPI | 1093953408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLAN ATKINSON Director 504-272-2373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: LA SIL20128) |
| Enumeration Date | 2009-01-23 |
| Last Update Date | 2009-01-23 |