NPI | 1205613726 |
---|---|
Doing Business As | CARESOUTH |
Entity Type | Organization |
Authorized Contact | MATTHEW VALLIERE CEO 225-650-2026 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2023-09-08 |
Last Update Date | 2024-10-31 |