| NPI | 1972654986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY ANN SCHNEIDER CEO 337-229-6391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: LA 129) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2008-08-18 |