| NPI | 1356906911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CURLIS T SAVOY Administrator 337-837-4049 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2019-05-08 |
| Last Update Date | 2019-05-08 |