NPI | 1558945931 |
---|---|
Entity Type | Organization |
Authorized Contact | CATHERINE M TONORE CEO 318-388-1250 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
Enumeration Date | 2021-05-11 |
Last Update Date | 2021-05-11 |