| NPI | 1659614865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHENILE TEZENO Owner 337-363-1237 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: LA CM 27068) |
| Enumeration Date | 2013-04-05 |
| Last Update Date | 2013-04-05 |