NPI | 1407325798 |
---|---|
Doing Business As | DEPAUL COMMUNITY HEALTH CENTERS-ST. AUGUSTINE HIGH SCHOOL |
Entity Type | Organization |
Authorized Contact | RANDELYN HUNT Credentialing Specialist 504-207-3059 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2018-11-16 |
Last Update Date | 2022-11-22 |