| NPI | 1447417787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YAVONKA G. ARCHAGA Executive Director 504-522-1955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: LA 21522) |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2011-11-10 |