| NPI | 1508163411 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WANDA GAIL TIMPTON CEO 504-244-1991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: LA 017776) |
| Enumeration Date | 2011-02-13 |
| Last Update Date | 2011-02-13 |