| NPI | 1598493777 |
|---|---|
| Doing Business As | SWLA CENTER FOR HEALTH SERVICES @ ALICE BOUCHER ELEMENTARY |
| Entity Type | Organization |
| Authorized Contact | WILLIAM BRENT CEO 337-769-9451 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2022-08-15 |
| Last Update Date | 2022-08-15 |