| NPI | 1215612742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WANDA ROSE CFO 504-206-7738 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2023-06-21 |
| Last Update Date | 2023-06-21 |