NPI | 1477900637 |
---|---|
Doing Business As | TECHE ACTION CLINIC @ LAPLACE ELEMENTARY SCHOOL |
Entity Type | Organization |
Authorized Contact | GARY WILTZ CEO 337-828-2550 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2016-05-18 |
Last Update Date | 2023-07-12 |