| NPI | 1053082743 |
|---|---|
| Doing Business As | BOGALUSA FAMILY MEDICINE & BEHAVIORAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | ANTHONY JUDE PALAZZO CEO 985-735-7707 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2021-09-23 |
| Last Update Date | 2021-09-23 |