| NPI | 1295184786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNY BONO Chief Financial Officer 337-602-6091 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 261QI0500X Clinic/Center, Infusion Therapy | |
| Enumeration Date | 2016-06-06 |
| Last Update Date | 2016-10-12 |