| NPI | 1144520677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDOLPH J FISHER Interim CEO 504-328-0488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2010-11-01 |
| Last Update Date | 2010-11-17 |