| NPI | 1063235794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN SEGURA Owner/Provider 337-540-9838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2024-11-01 |
| Last Update Date | 2024-11-01 |