| NPI | 1609136563 |
|---|---|
| Other Name | MARRERO SITE |
| Entity Type | Organization |
| Authorized Contact | TAMARA BOUTTE DIOUBATE CEO 504-309-6522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X | |
| Enumeration Date | 2012-05-24 |
| Last Update Date | 2023-05-17 |