| NPI | 1407019888 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIDELI COLON SCANLAN Md 504-393-0088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: LA 026390) |
| Enumeration Date | 2008-07-07 |
| Last Update Date | 2014-05-19 |