| NPI | 1093067878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL STIPELCOVICH Director Of Operations 225-363-2150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center Urgent Care |
| Enumeration Date | 2012-10-04 |
| Last Update Date | 2012-10-04 |