| NPI | 1679132179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBERZETTE MULKEY Exec. Assistant 504-821-9211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2019-06-08 |
| Last Update Date | 2019-06-08 |