NPI | 1104384205 |
---|---|
Doing Business As | PHSC WEST MONROE FAMILY HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | CATHERINE M TONORE Chief Executive Officer 318-388-1250 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2019-03-07 |
Last Update Date | 2021-04-15 |