| NPI | 1962423848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VITALIS C OKECHUKWU Owner Operator 337-407-1955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: LA 15601R) |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2020-08-22 |