NPI | 1457488926 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNIFER BENNETT Fnp 318-728-3468 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Additional Taxonomies | 261QR1300X Clinic/Center, Rural Health (Licence: LA 141) |
Enumeration Date | 2007-02-28 |
Last Update Date | 2009-02-09 |