| NPI | 1225322381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN E LOWREY Executive Director 318-442-1010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 251B00000X Case Management (Licence: LA CM0006530) |
| 251B00000X Case Management | |
| Enumeration Date | 2011-06-07 |
| Last Update Date | 2020-06-26 |