| NPI | 1144403353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLEN F MITCHELL Owner 504-655-2629 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: LA SIL 20015) |
| Enumeration Date | 2007-12-11 |
| Last Update Date | 2007-12-11 |