| NPI | 1457684201 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARITA DAVIS ACKLIN Owner 225-382-3920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0005X Clinic/Center, Ambulatory Family Planning Facility |
| Enumeration Date | 2009-09-11 |
| Last Update Date | 2009-09-11 |