| NPI | 1346725108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA BOUTTE DIOUBATE CEO 504-309-6522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2018-09-27 |
| Last Update Date | 2025-08-13 |