NPI | 1134136708 |
---|---|
Entity Type | Organization |
Authorized Contact | JAGJIT CHADHA Medical Director 337-786-5007 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: LA 27211) |
Additional Taxonomies | 261QR1300X Clinic/Center, Rural Health (Licence: LA 27211) |
Enumeration Date | 2006-08-03 |
Last Update Date | 2020-08-22 |