| NPI | 1740045509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN GOVAN WORK Medical Director/Physician 504-272-0115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine |
| 261QH0100X Clinic/Center, Health Services | |
| Enumeration Date | 2024-02-20 |
| Last Update Date | 2024-05-20 |