| NPI | 1831572015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALECIA CYPRIAN CEO 225-306-2010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2015-07-07 |