| NPI | 1679459622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA JOACHIM COO 504-508-2994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2025-08-14 |
| Last Update Date | 2025-08-14 |