| NPI | 1518280916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WARTELLE J CASTILLE Owner / Operator 337-237-6712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: LA 201660) |
| Enumeration Date | 2010-03-12 |
| Last Update Date | 2010-03-12 |