| NPI | 1316610736 |
|---|---|
| Doing Business As | DEPAUL COMMUNITY HEALTH CENTERS-LAKESIDE |
| Entity Type | Organization |
| Authorized Contact | MICHAEL GRIFFIN President/CEO 504-207-3060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2021-07-30 |
| Last Update Date | 2022-11-22 |