| NPI | 1275818908 |
|---|---|
| Doing Business As | BONNABEL HIGH SCHOOL SBHC MENTAL HEALTH SERVICES |
| 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 | 1041S0200X Social Worker, School (Licence: LA 2742) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: LA MD.08844R) | |
| Enumeration Date | 2011-10-13 |
| Last Update Date | 2022-07-21 |