| NPI | 1265548614 |
|---|---|
| Doing Business As | CARESOUTH |
| Entity Type | Organization |
| Authorized Contact | KENYA L NELSON Billing/Credentialing Manager 225-650-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2022-06-30 |