| NPI | 1609309335 |
|---|---|
| Doing Business As | CRESCENTCARE LOYOLA AVENUE |
| Entity Type | Organization |
| Authorized Contact | KATHARINE S STPAUL Delegated Official 504-450-9778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2017-04-10 |
| Last Update Date | 2017-05-11 |