NPI | 1447689930 |
---|---|
Doing Business As | FPHSA BOGALUSA CLINIC |
Entity Type | Organization |
Authorized Contact | MELANIE WATKINS Executive Director 985-543-4333 |
Organization Subpart ? | Yes |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: LA 131) |
Enumeration Date | 2013-11-05 |
Last Update Date | 2015-02-16 |