| NPI | 1609609023 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANZLEAN LAUGHINGHOUSE Executive Director 225-922-2700 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207QA0505X Family Medicine Adult Medicine |
| Additional Taxonomies | 261QP2300X Clinic/Center Primary Care |
| Enumeration Date | 2024-08-21 |
| Last Update Date | 2025-02-19 |