| NPI | 1801277520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRANCE REDDIX CEO/Medical Director 318-348-5622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2022-05-13 |