| NPI | 1215014634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGEL PROVOST OLIVIER Executive Director 337-269-1629 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X (Licence: LA 11347) |
| Additional Taxonomies | 251C00000X (Licence: LA 11345) |
| 251C00000X (Licence: LA 11344) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-08-22 |