| NPI | 1083631758 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT ALLEN VARNADO President 225-892-3308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: LA RN038204 AP04652) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2020-08-22 |