| NPI | 1760015721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN ACHANE Owner 337-514-5065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 164W00000X Licensed Practical Nurse | |
| Enumeration Date | 2020-02-19 |
| Last Update Date | 2021-12-15 |