| NPI | 1518577030 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK GANDY CEO 337-289-7743 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2020-08-10 |
| Last Update Date | 2021-02-03 |