| NPI | 1578940060 |
|---|---|
| Doing Business As | CHILDREN'S CLINIC A MEDICAL CORPORATION |
| Entity Type | Organization |
| Authorized Contact | JAMES FORTINO Owner 504-367-8777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2015-05-04 |
| Last Update Date | 2015-05-04 |