| NPI | 1205393709 |
|---|---|
| Doing Business As | ABC WELLNESS GROUP |
| Entity Type | Organization |
| Authorized Contact | JENNIFER CARLIN Office Manager 337-401-4686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2019-02-21 |
| Last Update Date | 2019-08-15 |