| Organization Name: | TECHE ACTION BOARD INC |
| NPI Number: | 1124307566 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GARY M WILTZ (CEO) |
| Mailing Address: | 1124 7th St Morgan City |
| State: | LA US |
| Postal Code: | 703801951 |
| Phone Number: | 9853842371 |
| Fax Number: | 9853842645 |
| NPI Enumeration Date: | 08/16/2011 |
| NPI Last Update Date: | 03/12/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QF0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Federally Qualified Health Center (FQHC) |
| Taxonomy Definition: | |