| NPI | 1679715726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA ANN BALLARD Co/Owner Administrator 504-644-4787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2009-04-02 |
| Last Update Date | 2010-04-09 |