| NPI | 1225214760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANDRIYEL MARIE BEN Owner/Administrator 504-270-4439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: GA 011-01-105-1) |
| Enumeration Date | 2008-01-15 |
| Last Update Date | 2011-11-28 |