NPI | 1134245079 |
---|---|
Entity Type | Organization |
Authorized Contact | BRENT W ALLAIN Partner 337-828-3507 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: LA 193830) |
Enumeration Date | 2007-03-22 |
Last Update Date | 2014-08-04 |