| NPI | 1538704010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA GOINS Owner 337-543-7800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2019-11-08 |
| Last Update Date | 2022-08-18 |