| NPI | 1134136708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAGJIT CHADHA Medical Director 337-786-5007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: LA 27211) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: LA 27211) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2025-09-11 |