| NPI | 1568404838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA L LEWIS CEO 318-487-4400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2020-12-08 |