| NPI | 1699445098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN EDWARDS LEBLANC Executive Director 225-933-8926 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2021-09-16 |
| Last Update Date | 2021-09-16 |