| NPI | 1356581391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE CAREY RILEY Chief Administrator 504-340-9313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization |
| Enumeration Date | 2009-03-04 |
| Last Update Date | 2009-03-04 |