| NPI | 1023787124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STANCY TOMEKIO COLEMAN Psychiatric Nurse Practitioner 318-540-9054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2021-09-10 |
| Last Update Date | 2021-09-10 |