| NPI | 1922543446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDSEY THOMAS ZIERHUT Director Of Medical Staff Affairs 985-646-1580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2016-12-20 |
| Last Update Date | 2024-02-28 |