| NPI | 1952298663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIRANDA HEBERT Owner 225-283-1211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2025-06-24 |
| Last Update Date | 2025-06-24 |