| NPI | 1235306754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARICE ALTHEA JABOUR Owner 985-651-0817 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: LA PCA11435) |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2008-05-14 |