| NPI | 1649420852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE CAREY RILEY Chief Administrator 504-340-9313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: LA sil20096) |
| Enumeration Date | 2008-09-24 |
| Last Update Date | 2008-09-24 |