| NPI | 1376062513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALECIA CYPRIAN CEO 225-306-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2017-09-19 |
| Last Update Date | 2017-09-19 |