| NPI | 1790480366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANASTASIA D MURPHY Owner/Administrator 337-764-3287 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2023-04-03 |
| Last Update Date | 2023-04-03 |