| NPI | 1649327107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAMILLE ELSBURY Ekl Medical Staff Dept. Manager 225-354-2051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: LA dpm.pd0105) |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2020-08-22 |