| NPI | 1154832434 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELLE ANSARDI Hr Coordinator 318-357-2071 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2017-10-13 |
| Last Update Date | 2017-10-13 |