NPI | 1720857584 |
---|---|
Doing Business As | OPEN HEALTH CARE CLINIC |
Entity Type | Organization |
Authorized Contact | TIM YOUNG President & Chief Executive Officer 225-424-1800 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2023-12-21 |
Last Update Date | 2023-12-21 |