NPI | 1174710685 |
---|---|
Doing Business As | ACADIA FAMILY CLINIC RHC |
Entity Type | Organization |
Authorized Contact | GINA L MILLER Nurse Practioner/Owner 337-788-1081 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR1300X Clinic/Center Rural Health (Licence: LA 133) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: LA 0390699-22) |
Enumeration Date | 2007-09-28 |
Last Update Date | 2017-01-03 |