| NPI | 1396985669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DELILAH A. MARTIN Owner/Administrator 225-687-3222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: LA PCA 15185) |
| Enumeration Date | 2009-02-26 |
| Last Update Date | 2009-02-26 |