| NPI | 1902393648 |
|---|---|
| Doing Business As | COMMUNIHEALTH SERVICES - MONROE PEDIATRIC AND PEDIATRIC BEHAVIORAL HEA |
| Entity Type | Organization |
| Authorized Contact | KATIE PARNELL CEO 318-239-8015 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 208000000X Pediatrics |
| 363LP0200X Nurse Practitioner, Pediatrics | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2018-04-18 |
| Last Update Date | 2022-03-03 |