| NPI | 1346977055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIE C WHITE Chief Executive Officer 318-227-3342 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2022-08-03 |
| Last Update Date | 2022-08-03 |