| NPI | 1396046462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTANY AMBER VANN Hs3 504-253-4671 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1100X Clinic/Center, MilitaryU.S. Coast Guard Outpatient |
| Enumeration Date | 2010-11-05 |
| Last Update Date | 2010-11-05 |