NPI | 1811873870 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSHUA JOACHIM COO 504-508-2994 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
Additional Taxonomies | 261QP2300X Clinic/Center Primary Care |
Enumeration Date | 2025-08-14 |
Last Update Date | 2025-08-14 |