| NPI | 1619982378 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE BUTH Associate Chief Of Staff Clinics 504-568-0811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: LA AP03606) |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2020-08-22 |