NPI | 1063782811 |
---|---|
Entity Type | Organization |
Authorized Contact | TRACY M MORRIS Administrator 318-728-8833 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: LA 157) |
Enumeration Date | 2012-01-11 |
Last Update Date | 2012-01-11 |