| NPI | 1902348873 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAYLA MARIE DE LA ROSE President/CEO 504-220-8480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: LA 4860) |
| Enumeration Date | 2016-11-09 |
| Last Update Date | 2016-11-09 |