| NPI | 1316158710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETTY J. ANDREWS Director 504-347-7650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: LA 7940) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2020-08-22 |