| NPI | 1457246183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLEY LANDRY Clinical Director/Co Owner 504-237-3174 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2025-06-11 |
| Last Update Date | 2025-07-22 |