| NPI | 1699097907 |
|---|---|
| Doing Business As | HCS-BROADMOOR HIGH SCHOOL |
| Entity Type | Organization |
| Authorized Contact | JULIA J LIVELY CFO 225-343-9505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2010-02-28 |
| Last Update Date | 2013-02-21 |