| NPI | 1114740354 |
|---|---|
| Doing Business As | DIAMOND SOLACE PSYCHIATRIC SERVICES |
| Entity Type | Organization |
| Authorized Contact | KAYONTAE WILLIAMS Owner 225-351-1506 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-11-06 |
| Last Update Date | 2024-11-06 |