NPI | 1376725952 |
---|---|
Other Name | SWLA CENTER FOR HEALTH SERVICES- LAFAYETTE |
Entity Type | Organization |
Authorized Contact | ASHLEY H BOUDREAUX Credentialing Specialist 337-769-9451 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2007-12-05 |
Last Update Date | 2021-08-26 |