NPI | 1568001014 |
---|---|
Other Name | SWLACENTER FOR HEALTH SERVICES- SOWELA |
Entity Type | Organization |
Authorized Contact | ASHLEY H BOUDREAUX Credentialing 337-769-9451 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2020-01-02 |
Last Update Date | 2021-08-26 |