| NPI | 1346975349 |
|---|---|
| Doing Business As | DEPAUL COMMUNITY HEALTH CENTERS-ST. THERESA ACADEMY |
| Entity Type | Organization |
| Authorized Contact | TANYELLE OATIS-GASKEW Lead Credentialing Specialist 504-212-9546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2022-07-22 |
| Last Update Date | 2023-03-29 |