| NPI | 1871246009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIE PARNELL CEO 318-283-8887 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 207Q00000X Family Medicine | |
| 363LF0000X Nurse Practitioner Family | |
| Enumeration Date | 2022-01-28 |
| Last Update Date | 2025-08-06 |