| NPI | 1013743194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HALI MILLER Authorized Official / Owner 985-200-0688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2024-09-13 |
| Last Update Date | 2025-07-31 |