| NPI | 1134532062 |
|---|---|
| Doing Business As | CASSE/CHI BERT KOUNS SITE |
| Entity Type | Organization |
| Authorized Contact | MARY M CHUMLEY CEO/President 318-688-3350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2020-07-24 |