Organization

Cw Outreach Center

Clinic/Center in Homer, LA(View on Map)

Legal Business Name

Cw Outreach Center

NPI Number

1215532700

NPI Type

Organization

Enumeration Date

12/02/2020

Specialties

(Taxonomies)

Code

261Q00000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 622
4229 US-79

City

Homer
Homer

State

LA
LA

Postal Code

71040-0622
71040

Country

US
US

Telephone Number

(318) 523-4103
(318) 523-4103

Authorized Official

Name

Amri Douglas

Title or Position

EXECUTIVE DIRECTOR

Telephone Number

(318) 523-4103

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 12/02/2020

Provider Address

Other Clinic/Center in Homer, Louisiana:

Organization

Divinity Healthcare Services

Homer, LA

Specialties: Family Nurse Practitioner (Primary)Clinic/Center