| NPI | 1811657752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN BAROUSSE Owner 337-684-8001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2021-12-20 |
| Last Update Date | 2023-04-13 |