| NPI | 1922317478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUY KEN SMITH Director Operations 985-898-7091 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 261QU0200X Clinic/Center Urgent Care |
| Enumeration Date | 2010-10-01 |
| Last Update Date | 2014-05-02 |