| NPI | 1073022950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WRONETTA CHARLES Owner 337-290-0745 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: LA AP04507) |
| Enumeration Date | 2017-09-24 |
| Last Update Date | 2023-12-04 |