| NPI | 1033999040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTANY TROSCLAIR MIRE Owner 985-228-6223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2023-10-05 |
| Last Update Date | 2024-01-28 |