| NPI | 1922046549 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODERICK CAMPBELL CEO 337-365-4945 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2021-12-01 |