| NPI | 1487657359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK JUNEAU Medical Director 504-349-2332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: LA 115) |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2020-08-22 |