| NPI | 1275317455 |
|---|---|
| Doing Business As | DAVID RAINES COMMUNITY HEALTH CENTER- MOBILE MEDICAL UNIT #1 |
| Entity Type | Organization |
| Authorized Contact | WILLIE C. WHITE Chief Executive Officer 318-227-3342 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2023-08-21 |
| Last Update Date | 2023-08-21 |