NPI | 1962813865 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID HOLCOMBE Medical Director 318-487-5261 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP0905X Clinic/Center, Public Health, State or Local (Licence: LA RN104770) |
Enumeration Date | 2014-05-13 |
Last Update Date | 2014-05-13 |