| NPI | 1215306535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHANIEL WILLIE DORSEY Manager 504-577-2258 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2015-09-16 |
| Last Update Date | 2015-09-17 |