| NPI | 1053838680 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOURDES PINEDA TORRES Manager 318-651-8337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: LA AP07290) |
| Enumeration Date | 2017-08-24 |
| Last Update Date | 2022-07-21 |