| NPI | 1104288976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT CROWE Owner 337-239-2207 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2021-01-26 |