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 |