NPI | 1093371494 |
---|---|
Doing Business As | ST GABRIEL HEALTH CLINIC INC |
Entity Type | Organization |
Authorized Contact | SHIRLEY FREEMAN WADE CEO 225-642-9676 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2019-05-13 |
Last Update Date | 2022-10-26 |