| NPI | 1619228509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANMUGANATHAN SHANTHA Direct Owner 504-914-2908 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: LA 15098R) |
| Enumeration Date | 2012-10-02 |
| Last Update Date | 2012-10-02 |