| NPI | 1124385760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL A.R. IKEMIRE Medical Director 504-717-3050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: LA MD.205087) |
| Additional Taxonomies | 251S00000X (Licence: LA MD.205087) |
| 261QP2300X Clinic/Center, Primary Care (Licence: LA MD.205087) | |
| Enumeration Date | 2012-04-20 |
| Last Update Date | 2012-04-20 |