| NPI | 1265319784 |
|---|---|
| Doing Business As | GREENVILLE PARK LEADERSHIP ACADEMY |
| Entity Type | Organization |
| Authorized Contact | CHRISTI C HUNT CEO 225-683-5292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2025-08-18 |
| Last Update Date | 2025-08-18 |