| NPI | 1821661117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL PARKER Owner 225-284-7336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0002X Clinic/Center Emergency Care |
| Additional Taxonomies | 261QH0100X Clinic/Center Health Service |
| Enumeration Date | 2021-07-23 |
| Last Update Date | 2023-01-11 |