| NPI | 1790512234 |
|---|---|
| Other Name | UNTAMED HEALTH |
| Entity Type | Organization |
| Authorized Contact | MATTHEW NAQUIN Fnp/Owner 225-413-2265 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2024-09-18 |
| Last Update Date | 2024-12-09 |