ST GABRIEL HEALTH CLINIC , INC

BATON ROUGE, LA
NPI1760858302
Doing Business AsBATON ROUGE CHARTER ACADEMY AT MID CITY SATELLITE CLINIC
Entity TypeOrganization
Authorized ContactMARILYN B ANTWINE
COO
225-642-9676
Organization Subpart ?Yes
Primary Taxonomy261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC)
Enumeration Date2015-08-18
Last Update Date2015-08-18
Business Address
ST GABRIEL HEALTH CLINIC , INC
1900 LOBDELL BLVD
BATON ROUGE, LA 70806-1725
Phone number: 225-810-3125
Mailing Address
ST GABRIEL HEALTH CLINIC , INC
PO BOX 209
SAINT GABRIEL, LA 70776-0209
Phone number: 225-642-9676
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