| NPI | 1245733302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRUDY FRANKS Program Director 985-333-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2018-03-15 |
| Last Update Date | 2020-08-19 |