| NPI | 1750838686 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALECIA CYPRIAN CEO 225-306-2010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2016-09-08 |
| Last Update Date | 2021-09-07 |