NPI | 1427760149 |
---|---|
Doing Business As | TECHE ACTION CLINIC @ ACADIAN ELEMENTARY SCHOOL |
Entity Type | Organization |
Authorized Contact | GARY M WILTZ CEO 337-828-2550 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2022-12-14 |
Last Update Date | 2023-07-12 |