NPI | 1457723421 |
---|---|
Entity Type | Organization |
Authorized Contact | CHANDA WHEAT HARBOR Case Manager 318-372-8527 |
Organization Subpart ? | No |
Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: LA 81850) |
Enumeration Date | 2015-10-29 |
Last Update Date | 2015-10-29 |