Organization
MARILLAC COMMUNITY HEALTH CENTERS
Active
Other names
DePaul Community Health Centers-Lakeside
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL GRIFFIN (PRESIDENT/CEO)
(504) 207-3060
Entity
Organization
Contact information
Practice address
3116 6TH ST STE 101, METAIRIE, LA 70002-1762
(504) 837-9000
Mailing address
PO BOX 13038, NEW ORLEANS, LA 70185-3038
(504) 207-3059
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
07/30/2021
Last updated
11/22/2022
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