NPI | 1831558428 |
---|---|
Entity Type | Organization |
Authorized Contact | ERICA BROWN JACKSON Owner 504-717-5454 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: LA MD.200224) |
Enumeration Date | 2016-02-11 |
Last Update Date | 2024-08-16 |