| NPI | 1497250609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENENE MCDONALD COLEMAN Owner 504-442-6943 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QC1500X Clinic/Center, Community Health | |
| Enumeration Date | 2018-03-28 |
| Last Update Date | 2025-03-28 |