| NPI | 1760887905 |
|---|---|
| Doing Business As | SOUTH BROAD COMMUNITY HEALTH |
| Entity Type | Organization |
| Authorized Contact | MARK KEISER President 504-575-3712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2014-10-30 |
| Last Update Date | 2016-08-19 |