| NPI | 1669108767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY SMITH Hr Generalist 504-212-9548 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2022-07-29 |
| Last Update Date | 2022-11-22 |