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 |