| NPI | 1972961100 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA L LEWIS Chief Executive Officer 318-487-4400 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2016-02-02 |
| Last Update Date | 2016-02-02 |