| NPI | 1386229896 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICK JOSEPH GREEN Owner 504-236-1486 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2021-03-16 |
| Last Update Date | 2023-09-06 |