| NPI | 1760734156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK KEISER CEO 504-575-3712 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2012-10-09 |
| Last Update Date | 2016-08-25 |