NPI | 1659319135 |
---|---|
Doing Business As | TECHE ACTION CLINIC @ DULAC |
Entity Type | Organization |
Authorized Contact | GARY M WILTZ Chief Executive Officer 337-828-2550 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2006-06-04 |
Last Update Date | 2023-07-12 |