NPI | 1811126550 |
---|---|
Entity Type | Organization |
Authorized Contact | SALVADORE VILLALON Clinical Director 318-335-4466 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2400X Clinic/Center, Prison Health (Licence: CA A80985) |
Enumeration Date | 2009-07-02 |
Last Update Date | 2009-07-02 |