NPI | 1275769119 |
---|---|
Entity Type | Organization |
Authorized Contact | DEANO THORNTON Executive Director 318-648-0375 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2009-06-05 |
Last Update Date | 2019-06-26 |