NPI | 1962777136 |
---|---|
Doing Business As | ST GABRIEL HEALTH CLINIC INC |
Doing Business As | GARDERE CENTER FOR PRIMARY CARE |
Entity Type | Organization |
Authorized Contact | LYSSA MORRIS Interim Chief Executive Officer 225-642-9676 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2012-03-20 |
Last Update Date | 2025-07-01 |