| NPI | 1023139458 |
|---|---|
| Doing Business As | LESSIE MOORE SBHC |
| Entity Type | Organization |
| Authorized Contact | MONTE WILSON CEO 337-470-2100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1000X Clinic/Center, Student Health (Licence: LA 234) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2022-10-19 |