| NPI | 1851127369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA JOACHIM Director Of Operation 504-508-2994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2024-09-11 |
| Last Update Date | 2024-09-11 |