NPI | 1609159375 |
---|---|
Entity Type | Organization |
Authorized Contact | MARY E MARTINEZ Director 504-417-3728 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
261QM1300X Clinic/Center Multi-Specialty | |
Enumeration Date | 2011-09-20 |
Last Update Date | 2020-06-30 |