NPI | 1447517032 |
---|---|
Entity Type | Organization |
Authorized Contact | CYROUS ARDALAN Interim CEO 504-762-8900 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
Enumeration Date | 2012-04-19 |
Last Update Date | 2012-04-19 |