| NPI | 1700358546 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAGAN COLLINS Executive Director 504-658-2787 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2018-12-18 |
| Last Update Date | 2018-12-18 |