| NPI | 1396622262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY L ESTES CEO 337-292-0619 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X Community/Behavioral Health | |
| 261Q00000X Clinic/Center | |
| 261QD0000X Clinic/Center Dental | |
| 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2025-08-20 |
| Last Update Date | 2025-08-20 |