| NPI | 1235379611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY LADD ALLAIN President 337-217-0207 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: LA 1046) |
| Enumeration Date | 2009-02-25 |
| Last Update Date | 2009-02-25 |