NPI | 1346502549 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID HOLCOMBE Medical Administrator 318-628-2148 |
Organization Subpart ? | No |
Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: LA RN041436) |
Enumeration Date | 2012-06-13 |
Last Update Date | 2012-06-13 |