| NPI | 1922335785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN ELIZABETH HEBERT Business Manager/Administrator 337-254-5797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: LA MD291569) |
| Additional Taxonomies | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2009-11-14 |
| Last Update Date | 2023-06-27 |