| NPI | 1770768319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLEN F MITCHELL Owner 504-655-2629 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: LA RC 13003) |
| Enumeration Date | 2008-01-02 |
| Last Update Date | 2008-01-02 |