| NPI | 1790598944 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIVIAN ATUD Director 227-232-6882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251K00000X Public Health or Welfare |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2025-01-30 |
| Last Update Date | 2025-01-30 |