NPI | 1437930625 |
---|---|
Doing Business As | RESURRECTION OF OUR LORD |
Entity Type | Organization |
Authorized Contact | MICHAEL GRIFFIN CEO President 504-207-3060 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2023-10-12 |
Last Update Date | 2025-01-17 |