NPI | 1942869441 |
---|---|
Doing Business As | BOGALUSA HS SBHC |
Entity Type | Organization |
Authorized Contact | MARK KEISER CEO 504-575-3700 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2019-06-08 |
Last Update Date | 2019-06-08 |