| NPI | 1093843187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DODIE LAMOTT Chief Executive Officer 337-942-3390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2015-08-14 |