| NPI | 1700882628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILL J ARLEDGE CFO 337-237-4673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: LA 1118605) |
| Enumeration Date | 2005-06-24 |
| Last Update Date | 2008-07-17 |