| NPI | 1285957811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN M'LISS PENDLETON Owner 318-550-0050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine |
| Enumeration Date | 2010-03-10 |
| Last Update Date | 2010-03-10 |