| NPI | 1912633165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LENA MYERS Owner/Manager 337-252-6292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2022-07-29 |
| Last Update Date | 2024-01-02 |