| NPI | 1255357638 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH CRANOR President/Authorized Official 225-665-5149 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: LA RH0006883) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2013-06-10 |