| NPI | 1407120785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY GERARD HEDRICK Owner 504-430-3397 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: LA 17258) |
| Enumeration Date | 2012-03-03 |
| Last Update Date | 2012-03-12 |