| NPI | 1164614855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOTTIE LOGEROT Director Of Special Programs 225-262-1919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1000X Clinic/Center, Student Health |
| Enumeration Date | 2007-08-16 |
| Last Update Date | 2007-08-16 |