| NPI | 1235397159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PADMINI GUPTA Medical Director 337-643-8400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: LA MD.05415R) |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2008-05-28 |