| NPI | 1952941767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA MARIE BENANDI Director Of Revenue Cycle Mgnt 504-704-5949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2020-01-09 |
| Last Update Date | 2021-10-08 |