| NPI | 1194560573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAKEHSA WOODS Provider/Owner 225-362-6052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-06-27 |
| Last Update Date | 2024-06-27 |