| NPI | 1427326446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALE ANN VUCINOVICH Owner/Operator 504-220-0225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: LA 0082611) |
| Enumeration Date | 2011-12-05 |
| Last Update Date | 2011-12-05 |