| 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 |