| NPI | 1780742049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONIO COLE Health Services Administrator 504-253-4677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1100X Clinic/Center Military/U.S. Coast Guard Outpatient |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2014-11-19 |