| NPI | 1154063055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE FELARISE Vice President 985-333-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2022-04-11 |
| Last Update Date | 2022-04-11 |