NPI | 1104299676 |
---|---|
Doing Business As | AFS |
Entity Type | Organization |
Authorized Contact | KIM ANN WISE-GASTINELL CEO/Counselor 504-393-0407 |
Organization Subpart ? | No |
Primary Taxonomy | 302F00000X Exclusive Provider Organization |
Enumeration Date | 2015-11-05 |
Last Update Date | 2015-11-05 |