| NPI | 1992942999 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | Y YOKO BROUSSARD Owner 337-439-2200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: LA 022167) |
| Enumeration Date | 2009-01-13 |
| Last Update Date | 2009-01-13 |