NPI | 1013771880 |
---|---|
Entity Type | Organization |
Authorized Contact | STEPHANIE MOULARD BENAVIDES Pmhnp 318-443-9339 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2024-02-12 |
Last Update Date | 2024-02-12 |