| NPI | 1417365495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELA JOSEPH Him Manager 337-312-8472 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: LA AP07952) |
| Enumeration Date | 2014-07-23 |
| Last Update Date | 2014-07-23 |