| NPI | 1679718985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL A STIPELCOVICH Director Of Operations 225-363-2150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center Urgent Care |
| Enumeration Date | 2008-12-16 |
| Last Update Date | 2011-06-29 |