| NPI | 1033687439 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA VIDRINE HOPE VIDRINE Family Nurse Practitioner 337-363-5592 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2018-11-05 |
| Last Update Date | 2018-11-05 |