| NPI | 1245407931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIOLETA CONCEPCION Chief Financial Officer 337-981-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: LA 11294R) |
| Enumeration Date | 2008-05-12 |
| Last Update Date | 2014-03-10 |