| NPI | 1891052254 |
|---|---|
| Other Name | WEST JEFFERSON SBHC |
| Entity Type | Organization |
| Authorized Contact | CYROUS ARDALAN Interin CEO 504-762-8900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2012-04-23 |
| Last Update Date | 2012-04-23 |