| NPI | 1073018123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARSHA CARTER AMBEAU Owner/CEO 601-304-2043 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MS R863813) |
| Additional Taxonomies | 174H00000X Health Educator |
| Enumeration Date | 2018-03-29 |
| Last Update Date | 2018-03-29 |