NPI | 1093371494 |
---|---|
Doing Business As | ST. GABRIEL HEALTH CLINIC, INC. |
Doing Business As | CELERITY DALTON - ST. GABRIEL HEALTH CLINIC, INC. |
Entity Type | Organization |
Authorized Contact | ASHLEY T LEVY CEO 225-642-9676 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2019-05-13 |
Last Update Date | 2025-05-02 |