| NPI | 1235596024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTANY F. MILLER Owner 337-363-5591 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: LA AP08602) |
| Enumeration Date | 2016-01-25 |
| Last Update Date | 2024-04-29 |