| NPI | 1861878852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONDA JOHNSON CEO 225-588-8111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2015-08-03 |
| Last Update Date | 2015-08-03 |