NPI | 1508312265 |
---|---|
Doing Business As | DEPAUL COMMUNITY HEALTH CENTERS-ST. MARY'S ACADEMY |
Entity Type | Organization |
Authorized Contact | MICHAEL GRIFFIN President/CEO 504-207-3060 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2016-08-31 |
Last Update Date | 2022-11-22 |