| NPI | 1033361860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BASIEL WILLIAMS Administrator 985-878-2273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: LA sil20076) |
| Enumeration Date | 2008-10-10 |
| Last Update Date | 2008-10-10 |