| NPI | 1730828419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD T ERWIN CEO 504-529-5558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2022-06-01 |
| Last Update Date | 2022-06-01 |