NPI | 1104239482 |
---|---|
Doing Business As | AHL SBHC PARADIS LA. |
Entity Type | Organization |
Authorized Contact | MARK KEISER President 504-575-3700 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 101Y00000X Counselor (Licence: LA 6505) |
207Q00000X Family Medicine (Licence: LA AP05965) | |
Enumeration Date | 2014-06-04 |
Last Update Date | 2016-08-05 |