| NPI | 1801402433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIM YOUNG CEO 225-424-1800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2020-09-18 |
| Last Update Date | 2023-06-08 |