| NPI | 1770213217 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY GATTE Co Owner 337-581-7009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine |
| Additional Taxonomies | 261QI0500X Clinic/Center, Infusion Therapy |
| Enumeration Date | 2022-06-16 |
| Last Update Date | 2023-12-26 |