| NPI | 1285998617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONNIE ANN KOEPP Manager 985-515-9446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0005X Clinic/Center Ambulatory Family Planning Facility (Licence: LA F0612200) |
| Enumeration Date | 2012-06-29 |
| Last Update Date | 2012-06-29 |