| 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 |