| NPI | 1073568366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATRICE WILLIAMS Business Office Manager 318-346-6681 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: LA 184RHC-2) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2017-11-09 |