NPI | 1730534041 |
---|---|
Entity Type | Organization |
Authorized Contact | DIANE BINION Assistant Director 318-570-5230 |
Organization Subpart ? | No |
Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: LA 2203782714) |
Enumeration Date | 2016-04-25 |
Last Update Date | 2016-04-25 |