| NPI | 1114435534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LADAMIYA JOHNTA KARELL FLETCHER COO 504-453-4236 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2018-01-19 |
| Last Update Date | 2018-01-19 |