| NPI | 1346907086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY G. BRUNSON CEO 318-259-1100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2021-11-17 |
| Last Update Date | 2025-06-26 |