NPI | 1205551272 |
---|---|
Entity Type | Organization |
Authorized Contact | TIM YOUNG President & Chief Executive Officer 225-424-1800 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2022-10-11 |
Last Update Date | 2023-06-08 |