| NPI | 1932334927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLOTTE ELIZABETH RUSSELL Clinical Director 318-272-8295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QB0400X Clinic/Center, Birthing |
| Enumeration Date | 2009-05-20 |
| Last Update Date | 2009-05-20 |