| NPI | 1548818925 |
|---|---|
| Doing Business As | ST TAMMANY MANDEVILLE CHC |
| Entity Type | Organization |
| Authorized Contact | MARK KEISER CEO 504-575-3700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2019-08-29 |
| Last Update Date | 2022-04-11 |