| NPI | 1902316763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY MISTRIC Interim CEO 337-237-1234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine |
| Additional Taxonomies | 104100000X Social Worker |
| 163WM0705X Registered Nurse, Medical-Surgical | |
| 261QM2500X Clinic/Center, Medical Specialty | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2017-10-06 |
| Last Update Date | 2024-07-30 |