| NPI | 1003321597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY SIMMONS CEO 504-533-4999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: LA LALCS31529) |
| Enumeration Date | 2017-12-06 |
| Last Update Date | 2023-02-23 |