NPI | 1679126510 |
---|---|
Doing Business As | KIDS CLINIC AND ADULT WELLNESS OF CROWLEY |
Entity Type | Organization |
Authorized Contact | ANTOINETTE RABENALDT Credentialing Coordinator 337-608-8988 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
Enumeration Date | 2019-07-19 |
Last Update Date | 2024-08-29 |