| NPI | 1720008675 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN MARIE WHITEHEAD Family Nurse Practitioner 337-217-0922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2010-11-05 |