| 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 |