NPI | 1215396304 |
---|---|
Entity Type | Organization |
Authorized Contact | KENDRA ANNELLE CLARK Mhp 504-344-4341 |
Organization Subpart ? | No |
Primary Taxonomy | 305S00000X Point of Service (Licence: LA 007603784) |
Additional Taxonomies | 251S00000X |
302R00000X Health Maintenance Organization | |
Enumeration Date | 2016-02-17 |
Last Update Date | 2016-02-17 |