| NPI | 1154603215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARVEY F MARCUS Owner 318-644-2737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 364SP0810X Clinical Nurse Specialist, Psych/Mental Health, Child & Family | |
| Enumeration Date | 2011-09-15 |
| Last Update Date | 2011-12-28 |