| NPI | 1861792590 |
|---|---|
| Doing Business As | ST CHARLES CHC, KENNER GNOCHC |
| 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 | 207Q00000X Family Medicine |
| Enumeration Date | 2010-10-28 |
| Last Update Date | 2016-08-19 |