| NPI | 1114684859 |
|---|---|
| Doing Business As | DESTREHAN HIGH SBHC |
| Entity Type | Organization |
| Authorized Contact | MARK F KEISER CEO 504-575-3700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2021-11-17 |
| Last Update Date | 2021-11-17 |