| NPI | 1811291859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM A ROLSTON Owner / Operator 504-454-9006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: LA 011699) |
| Enumeration Date | 2011-01-05 |
| Last Update Date | 2011-01-05 |