NPI | 1164814570 |
---|---|
Entity Type | Organization |
Authorized Contact | SABRINA CHAISSON FICK Co Owner 985-709-0311 |
Organization Subpart ? | No |
Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: LA OC-21357) |
Enumeration Date | 2015-02-22 |
Last Update Date | 2015-02-22 |