| NPI | 1871766139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTAL GLOVER Director 504-450-6835 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: LA 20048) |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2008-04-08 |