NPI | 1770098253 |
---|---|
Entity Type | Organization |
Authorized Contact | TINA MARIE BENANDI Senior Billing Associate 504-704-5949 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2017-12-06 |
Last Update Date | 2018-03-01 |