NPI | 1760616585 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNIFER G. BENNETT Owner 318-728-4368 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: LA 141) |
Enumeration Date | 2009-05-07 |
Last Update Date | 2009-08-05 |