| NPI | 1518260694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISON GALVAN Office Manager 985-641-2266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: LA 20592) |
| Enumeration Date | 2010-12-13 |
| Last Update Date | 2010-12-13 |