| 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 Community/Behavioral Health |
| 302R00000X Health Maintenance Organization | |
| Enumeration Date | 2016-02-17 |
| Last Update Date | 2016-02-17 |