| NPI | 1952138414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIKKI CHRISTY HONORE Medical Director/Owner 225-964-5332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2024-09-18 |
| Last Update Date | 2024-09-18 |