| NPI | 1891910436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA BROWN Program Coordinator 504-367-6600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: LA 3938) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2020-08-22 |