| NPI | 1609120682 |
|---|---|
| Doing Business As | NORTHSIDE COMMUNITY HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | DODIE LAMOTT Executive Director 337-942-3390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2012-10-30 |
| Last Update Date | 2017-04-28 |