| NPI | 1316246408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRIE L GESKE Supervisor 225-757-8808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: LA 022667) |
| Enumeration Date | 2011-03-15 |
| Last Update Date | 2011-03-15 |