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 | 2024-09-19 |