NPI | 1235568767 |
---|---|
Doing Business As | FPHSA DENHAM SPRINGS |
Entity Type | Organization |
Authorized Contact | MELANIE WATKINS Executive Director 985-543-4333 |
Organization Subpart ? | Yes |
Primary Taxonomy | 251S00000X (Licence: LA 395-A) |
Enumeration Date | 2013-11-05 |
Last Update Date | 2015-02-16 |