| NPI | 1891199766 |
|---|---|
| Doing Business As | SOUTH BROAD COMMUNITY HEALTH |
| 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 | 103TF0000X Psychologist Family (Licence: LA DO.000157) |
| 207Q00000X Family Medicine (Licence: LA MD.023712) | |
| Enumeration Date | 2014-10-21 |
| Last Update Date | 2016-09-13 |