| NPI | 1013405646 |
|---|---|
| Doing Business As | ST. GABRIEL - INNOVATION |
| Entity Type | Organization |
| Authorized Contact | MARILYN BROWN ANTWINE Compliance Officer 225-642-9676 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2018-04-30 |
| Last Update Date | 2018-04-30 |