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 |