NPI | 1407385958 |
---|---|
Entity Type | Organization |
Authorized Contact | MAIMOUNA KEITA CFO 225-650-2000 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2017-06-08 |
Last Update Date | 2024-10-31 |