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 |