| NPI | 1083463871 |
|---|---|
| Doing Business As | SOUTHEAST COMMUNITY HEALTH SYSTEMS - PORT HUDSON SCHOOL |
| Entity Type | Organization |
| Authorized Contact | VIRGINIA FOSTER Credentialing Specialist 225-306-2067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2024-05-15 |
| Last Update Date | 2024-05-15 |