| NPI | 1083261887 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAKANDA MASON Psychiatric Mental Health Nurse Pra 318-299-2950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2019-08-26 |
| Last Update Date | 2022-09-01 |