| NPI | 1134008550 |
|---|---|
| Doing Business As | IBERVILLE ALTERNATIVE POSITIVE PROGRAM FOR STUDENTS SBHC |
| Entity Type | Organization |
| Authorized Contact | TRACIE DUFRENE Credentialing Specialist 504-575-3712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2025-08-29 |
| Last Update Date | 2025-08-29 |